GARDENS, THE

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Through interview of staff and review of documentation, LPA learned that staff S1 repeatedly pulled resident R1 by the arms at the dining table and told her to sit forward or she would not feed her. She also fastened a seatbelt around R2 in her wheelchair when R2 could not unbuckle the belt; and pulled R2 backwards down the hallway, while R2 said to stop, it was hurting; and pulled R3 by the arms down the hallway. This potentially caused an immediate health and safety hazard.

Official plan of correction

The facility immediately followed up regarding these incidents and investigated the situation. S1 was appropriately dealt with by the faciity. The facility also conducted Resident Rights training on DATE with staff to avoid similar situations in the future. POC complete.

Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Through interview of staff and review of documentation, LPA learned that staff S1 repeatedly pulled resident R1 by the arms at the dining table and told her to sit forward or she would not feed her. This potentially caused an immediate health and safety hazard.

Official plan of correction

The facility immediately followed up regarding these incidents and investigated the situation, followed facility procedures and took appropriate action. The facility also conducted Resident Rights training with staff to avoid similar situations in the future. POC complete.

Deadline recorded: Oct 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (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 (A)-(F). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above in 4 out of 4 residents Centrally Stored Medications (CSM) were not entered in the CSM logs which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/24/2022 Plan of Correction Licensee agrees to entered in Centrally Stored Medications in CSM logs and submit in copies to Licensing by 5/17/2022. Licensee agrees to hold training with staff and submit in signature of attendance to Licensing by 5/24/2022.

Official classification

Type B

Official code

87507(c)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interivews], the licensee did not comply with the section cited above in 1 out of 1 resident, R5 did not have a signed and dated admission agreement on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/24/2022 Plan of Correction Licensee agrees to submit in sign admission agreement to Licensing by 5/24/2022