GOLDEN HILLS CARE HOME

Official classification

Type B

Official code

87411(c)

Regulation authority

CCR

What the official deficiency says

c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 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 by not providing initial or continued training to staff who was hired on 09/05/24 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/28/2025 Plan of Correction Administrator stated they will provide training and send proof of training to LPA by poc due date via email by 08/28/25.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on interview and observation, fire extinguisher inspected in the facility were last serviced on 09/27/2019 and a new fire extinguisher was purchased last year but no receipt was provided which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee will submit a written plan of action to ensure fire extinguisher is served yearly or purchased anew. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

15655

Regulation authority

HSC

What the official deficiency says

§15655 Training on elder and dependent adult abuse;...all staff being trained a written copy of the reporting requirements and a written notification of the staff's confidentiality rights as specified in Section 15633. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in 2 out of 2 staff files did not contain SOC341A which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee will provide a written plan of understanding the regulations. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468(b)(1)(A)

Regulation authority

CCR

What the official deficiency says

87486 Personal Rights (b)(1)(A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above in 2 out of 2 resident files did not contain a signed copy of Personal Rights of Residents in All Facilities which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to ensure resident's file contains a signed copy of Personal Rights of Residents in All Facilities and send to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes … such as unusual weight gains or losses … the licensee shall ensure that such changes are documented … This requirement is not met as evidenced by Based on record review, ADM did not keep a record of resident’s weight gains or losses to regularly observe any changes, which pose/poses a potential health risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to ensure observation of change of condition of the residents such as unusual weight gain or losses is documented. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(b)

Regulation authority

CCR

What the official deficiency says

87463(b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person. This requirement is not met as evidenced by: Based on record review and interview, 2 out of 2 resident files did not contain Appraisal/Needs and Services Plan and Individual Service Plan signed by resident and/or responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to ensure Appraisal/Needs and Services Plan is signed by resident and/or responsible party. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

80075(k)(7)

Regulation authority

CCR

What the official deficiency says

(k)(7) The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications which is retained for at least one year and includes the following: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above wherein 1 out of 2 resident’s medications which are centrally stored were not recorded and maintained poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to maintain a record of centrally stored prescription medications. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608(a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. This requirement is not met as evidenced by: Based on observation, interview, and record review 2 out of 2 residents did not have a physician's order on file for the use of half bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to maintain a written order from a physician to indicate the need for half-bed rail for mobility. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.6959(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift....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: Based on observation and record review, the facility staff could not provide documentation on the disaster drills conducted at the facility, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to maintain documentation on disaster drills conducted at the facility. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458

Regulation authority

CCR

What the official deficiency says

87458 (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. This requirement was not met as evidenced by: Based on observation and record review, resident R3's file did not contain LIC 602 Physician's Report which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action to maintain record of resident's medical assessment. POC will be submitted to LPA by POC due date.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

(d)The administrator shall have the qualifications...If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on observation, interview & record review, the Licensee/Administrator did not comply with section cited above by not maintaining staff and resident files, maintaining fire extinguisher, maintaining records of disaster drill which poses/ posed a potential health, safety or

Official plan of correction

Since Licensee was not present during today's visit, Licensee to submit a written plan of action understanding applicable laws, rules and regulations such as Title 22 and Health and Safety Code. POC will be submitted to LPA by POC due date. (con't) personal rights risk to persons in care.

Deadline recorded: Sep 5, 2024. A deadline is not proof that correction was completed.