QUAIL PARK AT SHANNON RANCH

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. The following requirement has not been met as evidenced by: Resident 1's MAR documents multiple missed medications including on 09/18/25 p.m., and 09/19/2025 both a.m. and p.m., which poses is an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

Administrator will conduct audits with facility Health and Wellness director to ensure all medications are being administered to facility residents, and submit proof to LPA by POC date of 01/27/2026..

Deadline recorded: Jan 27, 2026. A deadline is not proof that correction was completed.

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. The following requirement has not been met as evidenced by: Resident 1's Responsible party was not notified of communication with home health agency effecting Resident 1's care, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Administrator will conduct communication with facility Health and Welness director on the subject of reporting and communication with resident responsible parties, and submit to LPA by 02/09/2026.

Deadline recorded: Feb 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(d)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources.. The following requirement has not been met as evidenced by: Resident 1 was not being assisted as needed with showers, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Administrator will conduct training with facility staff on documenting shower logs including refusals, and submit to LPA by POC date of 02/09/2026.

Deadline recorded: Feb 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed... This requirement was not met as evidenced by: Licensee did not ensure that R1’s medications were received as ordered by the physician. New orders were provided to the facility which were not inputted to the MAR. R1 did not receive medications as ordered. This is an immediate health and safety risk to persons in care.

Official plan of correction

Upon discovery of the medication error, S1 was removed from the schedule pending an internal investigation. LPA reviewed a correction Action Form which documents the discharge/termination of S1 effective 3/8/24. POC CLEARED.

Deadline recorded: Apr 2, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with section 87465 when facility staff administered medication to R1 outside of the parameters set by R1’s physician, this is an immediate health and safety risk to persons in care.

Official plan of correction

Facility monitored R1's blood pressure throughout the night. Additionally, S1 received medication training and was pulled from administering medication until the retraining was complete. POC CLEARED.

Deadline recorded: Feb 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Nine out of nine residents sampled during inspection was found with disinfectants and/or cleaning solutions (Comet, Windex, Resolve, Fabuloso) accessible in cabinet under kitchen sink and/or cabinet under bathroom sink; and R11 was observed with a complete knife set in a knife block on kitchenette counter, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2023 Plan of Correction THIS REPORT WAS AMENDED. DEFICIENCY NOT ISSUED. Administrator will submit proof of a written plan outling steps that will be taken to ensure all disinfectants, cleaning solutions, and items that could pose a danger are removed from each resident apartment to CCL by POC due date.