GARDENS OF MODESTO, THE

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This is not met as evidenced by: The licensee did not ensure that an incident report was sent to the department within 7 days. This poses a potential health, safety, and personal rights risks to persons in care.

Official plan of correction

The facility will undergo training from a vendorized trainer for no less than (1) hour in duration on the topic of reporting requirements. A statement of correction and acknowledgement along with documented proof of scheduled training topics, dates, and times will be completed and submitted into CCL by the due date.

Deadline recorded: May 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303

Regulation authority

CCR

What the official deficiency says

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: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in by not ensuring the the exit gates were unlocked. LPA Pascua observed a padlock on the black gate which prohibited exit access. This poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2025 Plan of Correction Administrator took padlock off the black gate during visit. In addition, administrator states that a tour of the facility will tour of the facility every other day to ensure that the locks are not present. A statement of correction will be sent to LPA by POC date.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. 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 not ensuring that R1's medication was not reflected on the Electronic Medication Administration Record. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2025 Plan of Correction Administrator states pharmacy will come and do an additional audit and well as in internal audit will be conducted. Statement of correction willbe sent to LPA by POC date.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and interview, the licensee did not comply with the section cited above by not ensuring the medications were not transferred between containers. LPA observed that the medication for noon pass was pre-poured prior to administration, this poses a potential health,safety, and personal rights risks to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Administrator states that training will be conducted. A copy of this training will be provided to this LPA by POC.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in by not ensuring that 5 out 5 residents had an updated reappraisals. This poses a potential health, safety, and personals rights risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2025 Plan of Correction Administrator will resident file audit to ensure all reappraisals are done within a timely manner.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in by not ensuring the the laundry room and pull cords in the bedrooms were in good repair. LPA observed two large holes, water damage under the water spouts, and baseboards, and floorings throughout the laundry room was lifting off. LPA learned through interview that the pull cords in each resident bedrooms have not been in working condition. This poses an potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2023 Plan of Correction The administrator stated that a plan to repair the laundry room and pull cord system will be conducted and be provided to the LPA by the POC date. In addition, the administrator shall provide receipts and proof of service to the LPA by the POC date.