SHILOH GREEN MANOR OF SANTA ROSA

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities-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: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 is not met as evidenced by: Deficient Practice Statement Based on LPA heard a staff speaking to a resident in an inappropriate manner, speaking in a very loud irritated voice at the resident. Staff S3 stated that they were speaking with resident R1. S3 stated that the resident was trying to go outside of the front door and this is why they were speaking that way;S3 stated that it was because the resident was trying to leave that's why. LPA discussed personal rights of residents in care with the staff. Resident R1 needs redirection by staff and/or the staff to follow the resident out and redirect them back inside the facility. Staff are not to raise their voice at the resident and/or yell at them. , the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee/Administrator to hold an in-service training with all staff, including S3. Review care plan of R1 with all care staff and ensure that staff are trained in meeting all R1's needs, as well as all residents in care. Submit proof of training by 3/25/26, with a plan of ensuring compliance with personal rights of all residents in care. POC due 3/25/26.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87705(f)(1)(2) Care of Persons with Dementia- The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).-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 was not met as evidenced by LPA's observation-knife blade tool left on a foot stool in the livngroom-medication keys were hanging in the medication closets doorlock/doorknob.This is a risk to health & safety and/or personal rights to residents in care.

Official plan of correction

inaccessible to residents in care. Hold an in-service traiining with all staff regaridng locking and securing medications and tool/ items that pose a risk to residents, submit proof of training by 2/1/23. Submit plan of correction by /25/23.

Deadline recorded: Jan 25, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

Personal Rights 87468.1(a)(2)- Residents in assited living.-ensuring personal rights are not violated at any time. This requirement is not met as evidenced by: LPA's observations during the inspection. Caregiver Barbara Santos was observed not wearing a surgical mask as required. Staff held back from opening the door to let the LPA in as they were trying to get a mask on.This is a risk to health & safety and/or personal rights to residents in care.

Official plan of correction

Hold an in-service traiining with all staff regaridng required mask wearing by staff. Submit proof of training by 2/1/23. Submit plan of correction by /25/23.

Deadline recorded: Jan 25, 2023. A deadline is not proof that correction was completed.