OAKS AT PASO ROBLES, THE

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored:(6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above when 19 medications were not documented on resident Centrally Stored Medication Records which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/31/2025 Plan of Correction Administrator stated they will conduct an audit of centrally stored medictions ensuring all medications are documented on the centrally stored medication record and conduct training with all staff that are trained medication technicians on the policy of accepting and documenting newly recieved medications. Administrator will email audit documentation, staff training and signed staff roster to LPA on or before 12/31/2025.

Official classification

Type B

Official code

87705(e)(6)(B)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia (e)Licensees that use delayed egress devices on exterior doors…shall meet the following…continuing requirements: (6)For each incident of elopement…the licensee shall report the incident to: (B)The licensing agency Officer of the Day…no later than the next working day following the incident... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not notify the licensing agency until nine days after the incident which poses a potential Health and Safety risk to persons in care.

Official plan of correction

Administrator states they will train lead staff on reporting requiments as outlined in this regulation and email LPA with training documents and signed roster of staff trained on or before 9/18/2025.

Deadline recorded: Sep 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

Staff training; legislative findings; contents (b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not ensure S1 was provided dementia training prior to working in the memory care unit which poses a potential Health and Safety risk to persons in care.

Official plan of correction

Administrator states they will conduct an audit of agency staff used regularly to ensure they meet dementia training requirments and submit to the LPA via email the audit findings on or before 9/18/2025. Administrator also states moving forward they will ensure agency staff meet the dementia training.

Deadline recorded: Sep 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465(a)(4) Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when S1 gave R1 the wrong medications, which posed an immediate health and safety risk to residents in care.

Official plan of correction

S1 was temporarily suspended until further investigation was conducted, upon return to work S1 will not handle medications. S1 gave facility notice of resignation with last day of 04/06/2025. Administrator will create a checklist for med-techs to conduct the 6 medication rights and 3 checks to follow for each medication pass. Administrator will email the checklist to LPA by 3/27/2025. Administrator will train the staff handling medications on how to use the new checklist. Administrator will personally shadow each medication technician.

Deadline recorded: Mar 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465(h)(6) Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained... This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above when R2's lorazepam and oxycodone were not centrally stored on the Centrally Stored Medications Record.

Official plan of correction

Administrator will create a written protocol for trained staff to centrally stored medications and directors to review received medications on a daily bases by 04/09/2025. Administrator will email LPA the protocol by 04/09/2025.

Deadline recorded: Apr 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction