VILLA VERDE

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465(h)(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: 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 in 2 out 5 centrally stored medications for R1 were not logged on the Centrally Stored Medicaiton Log and 2 out of 5 medications did not have the start date written on the Centrally Stored Medication Log and 1 out of 4 centrally stored medication for R2 was not logged on the log which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2026 Plan of Correction Licensee/Administrator stated to submit a written plan of action understanding the regulations and will provide in-service training to the staff responsible for administering medications and will ensure resident's centrally stored medications are logged on the Centrally Stored Medication log by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in disaster drill was not conducted for 2026, the last disaster drill was conducted in November 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2026 Plan of Correction Licensee/Administrator stated to submit a written plan of action understanding regulations and conducting a disaster drill quarterly for each shift by POC due date.

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly(1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on record review and interview, R1 was residing at the facility from 5/23 -5/26/2023 with a change of condition of the stage 2 pressure injury and became a stage 4 pressure injury which poses/posed an immediate Health, Safety, or Personal..

Official plan of correction

Licensee will provide a written plan of action understanding the regulation and ensure residents with wounds are assessed to determine if the wound has developed into stage 3 and stage 4 and appropriate measures are taken. Licensee agreed and understood. (con't) Rights risk to persons in care.

Deadline recorded: Jul 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87631(a)(3)(A)

Regulation authority

CCR

What the official deficiency says

87631 Healing Wounds (a)(3)(A) The resident shall receive care for the pressure injury from a physician or an appropriately skilled professional. This requirement is not met as evidenced by: Based on interview, resident (R1) received care for the pressure injury by a non-skilled professional and the wound care was provided by the caregiver which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Licensee stated to submit a written plan of action and initiate in-service training with the staff by POC due date. Licensee agreed and understood.

Deadline recorded: Feb 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, interview, and record review the facility did not ensure to secure medications which was left accessible to residents with dementia which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee immediately secured the medications. Licensee will send a statement of understanding and staff training record to LPA Dolores by POC due date.

Deadline recorded: Mar 10, 2023. A deadline is not proof that correction was completed.