Inspection Reports for
Aldersly

The inspection found that the facility had well-organized staff and resident files and background-cleared staff. However, deficiencies were cited related to medication storage and handling, including unlocked medication carts accessible to residents and guests, medications not centrally stored as required, and pre-pouring of noon medications too early.

The inspection found deficiencies related to medication storage and handling, including medications not being centrally stored as required, medication cart keys being accessible and the cart unlocked, and noon medications being pre-poured early. Plans of correction were required to address these issues.

The facility was generally found to be clean, safe, and compliant with infection control and safety regulations. However, a significant deficiency was identified where a resident (R1) was left on the floor for over two hours after a fall, posing an immediate health and safety risk.

The facility was found generally clean, safe, and compliant with infection control, food supply, and safety equipment requirements. However, a deficiency was cited for failure to timely assist a resident after a fall, posing an immediate health and safety risk.

The facility was generally found to be clean, safe, and compliant with infection control, food supply, and safety equipment requirements. However, a deficiency was cited due to a resident with dementia eloping from the facility, posing an immediate health and safety risk. A civil penalty of $1,000 was issued for a repeat violation related to safety measures for residents with dementia.

The facility was found generally compliant with regulations including staff background checks, infection control, and safety measures. However, a deficiency was cited for failure to prevent elopement of a resident with dementia, which posed an immediate health and safety risk. A civil penalty of $1,000 was issued for a repeat violation related to safety measures for residents with dementia.

The visit was complaint-related due to incidents of resident elopements. The deficiency was substantiated, and a civil penalty of $1,000 was issued for a repeat violation within 12 months.

The facility failed to comply with safety measures for residents with dementia, resulting in two elopement incidents. Deficiencies were cited for inadequate elopement prevention procedures and staff training, posing immediate health and safety risks to residents.

The facility failed to comply with safety requirements for residents with dementia, resulting in two elopement incidents. A civil penalty of $1,000 was issued due to a repeat violation of Regulation 87705(b)(2) within a 12-month period.

The facility was found to be generally compliant with regulations including staff background checks, infection control, safety measures, and resident file documentation. However, a deficiency was cited related to the safety of a resident with dementia who went missing during a community outing, posing an immediate health and safety risk. The deficiency was cleared during the visit after in-service training and procedural updates were implemented.

The facility was generally found to be clean, safe, and compliant with regulations including infection control, food supply, and safety equipment. However, a deficiency was cited related to the safety measures for residents with dementia after a resident went missing during a community outing.

The complaint included allegations that staff did not follow a resident's feeding plan, did not adequately supervise the resident, failed to put appropriate measures in place for a fall risk resident, did not properly dispose of food, and did not administer medications according to instructions. Only the feeding plan allegation was substantiated; the others were unsubstantiated.

The investigation substantiated that staff did not follow the resident's feeding plan, posing an immediate health and safety risk. Other allegations regarding inadequate supervision, fall risk measures, food disposal, and medication administration were found to be unsubstantiated due to insufficient evidence.

Visit was a follow-up to a complaint investigation involving a death report and failure to report incidents timely. Further investigation is pending regarding law enforcement notification.

The facility failed to report two resident falls within 7 days and delayed submission of death reports for two residents. Law enforcement was not contacted regarding a resident found outside, requiring further investigation. Deficiencies were cited related to reporting requirements.

The visit followed up on a complaint investigation related to a death report and incidents involving residents, including unreported falls and delayed death reports. The substantiation status is not explicitly stated.

The visit found that two incidents of resident falls were not reported to the licensing agency within the required 7 days, and death reports for two residents were submitted late. Law enforcement was not contacted regarding one resident's incident, and further investigation is needed.

The complaint investigation was substantiated for the allegation that staff did not follow the resident's feeding plan, based on evidence including a food tray left uneaten next to a resident with swallowing difficulties and a care plan error. Other allegations such as inadequate supervision, fall risk measures, food disposal, and medication administration were unsubstantiated due to lack of preponderance of evidence.

The investigation substantiated the allegation that staff did not follow a resident's feeding plan, posing an immediate health and safety risk. Other allegations regarding inadequate supervision, fall risk measures, food disposal, and medication administration were found to be unsubstantiated due to insufficient evidence.

The complaint was substantiated based on a preponderance of evidence. Allegations included inadequate staffing and delayed response to emergency call buttons. The facility was aware of issues with call pendant devices but could not determine the cause. A system audit was planned to address these issues.

The investigation substantiated the allegations that staff failed to respond timely to emergency call buttons and that the facility did not have adequate staffing. Call button logs showed wait times of an hour or more, and interviews confirmed issues with pendant devices and delayed staff response, posing an immediate risk to resident health and safety.

The visit was complaint-related, investigating a complaint dated September 7, 2022, regarding failure to report a resident fall and submit incident reports. The violation was substantiated with a civil penalty issued.

The facility failed to report a resident fall resulting in a fracture and did not submit incident reports for November and December 2022, violating California Code of Regulations Section 87211. An immediate civil penalty was issued for repeat violations.

The visit was complaint-related based on a complaint dated September 7, 2022. The complaint was substantiated by findings that the facility did not report a resident fall incident and failed to submit incident reports for November and December 2022.

The facility failed to report a resident fall resulting in a fracture and did not submit incident reports for November to December 2022 as required. An immediate civil penalty was issued for repeat violations of reporting requirements under California Code of Regulations Section 87211.

The complaint was substantiated based on documents reviewed, observations, and interviews. The allegations that staff do not respond to resident emergency call buttons in a timely manner and that the facility does not have adequate staff to meet resident needs were validated.

The investigation substantiated the allegations that staff did not respond to emergency call buttons in a timely manner and that the facility lacked adequate staffing. Call button logs showed wait times of an hour or more, and interviews revealed issues with defective pendant devices and delayed staff responses, posing an immediate risk to resident health and safety.

The visit was complaint-related, investigating an allegation that Resident #1 was prevented from accessing clothing due to a trash bag tied on the closet door. The complaint was substantiated as the deficiency was observed.

During the inspection, a deficiency was found where a trash bag was tied around Resident #1's closet, preventing access to clothing and violating personal rights. The Executive Director removed the trash bag during the visit.

The visit was complaint-related and substantiated by the observation of the trash bag restricting Resident #1's access to clothing, violating personal rights.

A deficiency was found where a trash bag was tied around Resident #1's closet, preventing access to clothing, which violated personal rights and presented an immediate health and safety risk.

The complaint investigation revealed that a resident sustained a fall that was unreported to licensing and incidents were not documented on LIC 624/Unusual Incident Reports. The deficiency was substantiated based on interviews and review of incident reports.

The facility failed to properly report a resident's fall incident to the licensing agency and did not document incidents on the required LIC 624/Unusual Incident Reports, violating California Code of Regulations Title 22, Division 6. This poses a potential health, safety, or personal rights risk to residents.

The complaint investigation was substantiated by findings that a resident sustained a fall that was unreported to licensing and incidents were not documented on LIC 624/Unusual Incident Reports.

The facility failed to report a resident's fall incident to the licensing agency as required by California Code of Regulations Title 22, and incidents were not documented on the required Unusual Incident Reports (LIC 624). This failure poses a potential health, safety, or personal rights risk to persons in care.