PRIMROSE ALZHEIMER'S LIVING INC

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705(c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's file reviews,, the licensee did not comply with the section cited above in [5] out of [10] files which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2024 Plan of Correction Administrator to ensure that the facility obtains updated medical assessments on residents, R3, R4, R5, R7, and R10. Submit plan of correction, including copies of resident assessments by 4/30/24.

Official classification

Type A

Official code

7468.2

Regulation authority

CCR

What the official deficiency says

7468.2 Additional Personal Rights of Residents in Privately Operated Facilities. a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met based on: LPA's investigation, record reviews, and interviews; Facility did not ensure observed changes of the resident were documented and resident changes were being shared to all staff caregiving to resident 1, ensuring current needs were met. This is an immediate personal rights risk to resident(s) in care.

Official plan of correction

Licensee/Administrator to ensure that all resident rigths are not violated; Ensure all staff are trained in resident rights by an outside agency. Submit plan of training for staff providing care services, including Administrator, Health DServices Director. Submit proof of training by 9/16/22. Submit plan of correction by 9/2/22.

Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

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 in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met based on LPA's investigation, interviews, and reviewof records. acility did not ensure observed changes of the resident were documented and resident changes were being shared to all staff caregiving in order to meet resident's current needs-ensuring observed changes are addressed by the Physician and any other required parties. This is an immediate personal rights and health and safety risk to resident(s) in care.

Official plan of correction

Licensee/Administrator to ensure that all resident observed changes are documented and brought to the attention of all those required , including faciity staff and resident's Physician. Ensure records are kept updated as needed and shared with staff on all shifts as needed to ensure resident's health and sfety. Submit proof of inservice regarding " Resident Observed Changes " to all staff providing care services, including Administrator and Health Services Director. Submit Proof of correction due 9/16/22. Submit plan of correction by 9/2/22.

Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.