Inspection Reports for Atria Las Posas

The inspection was an unannounced Case Management Deficiency visit conducted in conjunction with an initial 10-day complaint visit to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint.

The facility was cited for a Type A deficiency related to failure to ensure the new Administrator had fingerprint association transferred to the facility prior to working, posing an immediate health and safety risk to residents. An immediate civil penalty of $500 was assessed for this violation.

The visit was triggered by an initial 10-day complaint visit (CC #29-AS-20251020160401). The deficiency cited was not related to the complaint but was observed during the complaint investigation.

The visit was an unannounced required annual inspection to ensure compliance with Title 22 regulations and assess health and safety conditions at the facility.

The facility was generally found to be in compliance with regulations, including kitchen, dining, and outdoor areas. However, deficiencies were noted related to malfunctioning pagers in the memory care unit posing a potential safety risk and discrepancies in medication start dates. Hot water temperature violations were also corrected during the visit. Emergency plans and records were reviewed and found complete.

The visit was an unannounced complaint investigation conducted in response to allegations received on 12/27/2024 regarding staff confidentiality breaches and staff yelling at a resident.

The investigation found no sufficient evidence to substantiate the allegations. Residents and staff interviews, document reviews, and training records supported that confidentiality was maintained and staff treated residents with dignity and respect. The allegations were deemed unsubstantiated.

The complaint involved two allegations: 1) Staff did not keep residents’ personal information confidential, and 2) Staff yelled at a resident. Both allegations were investigated through interviews, document reviews, and observations. The Reporting Party was anonymous. The investigation concluded both allegations were unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2024-12-27 regarding insufficient staffing causing residents to not receive medication as prescribed.

The investigation found substantiated evidence that staffing shortages caused medication administration issues, including discrepancies in medication records and delays in medication delivery. Staffing gaps were observed, with only one caregiver and one Med-Tech on duty during shifts, and multiple employees working double shifts or on days off. The Executive Director acknowledged staffing challenges but maintained medication administration as a priority.

The complaint alleged that due to insufficient staffing, residents were not given medication as prescribed. The allegation was substantiated based on interviews, document reviews, medication audits, and observed staffing shortages. Medication discrepancies were found in 8 out of 10 residents' records. The Executive Director acknowledged staffing challenges but asserted adequate staffing levels. Residents reported delays and missed medication doses.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-18 regarding medication refill delays, improper medication administration, and insufficient staffing at the facility.

The investigation substantiated that staff failed to timely refill residents' medications, resulting in missed doses and medication discrepancies. Additionally, staffing shortages were confirmed, causing delays in care and medication administration, with staff reporting being overworked and stressed.

The complaint investigation was substantiated. Allegations included staff not refilling residents' medications timely, staff not administering medications as prescribed, and insufficient staffing. Evidence showed medication lapses for Resident #1 and discrepancies in medication records for 8 of 10 residents reviewed. Staffing shortages were confirmed with staff reporting overwork and extended wait times for residents.

The inspection was an unannounced complaint investigation visit triggered by allegations of neglect and lack of care and supervision involving Resident #1 who sustained a fracture and was allegedly left on the floor for an extended period.

The investigation reviewed video footage, medical records, and conducted interviews, concluding that the facility staff responded timely to Resident #1's fall and did not neglect care or fail to follow the care plan. All allegations were deemed unsubstantiated and no deficiencies were cited.

The complaint alleged neglect/lack of care and supervision resulting in Resident #1 sustaining a fracture and being left on the floor for an extended time, staff not following the care plan, and staff going through resident's personal belongings without consent. The investigation found no sufficient evidence to substantiate these allegations; the complaint was unsubstantiated.

The visit was an unannounced complaint investigation triggered by allegations received on 2024-06-10 regarding staff handling residents roughly and not treating residents with respect.

The investigation included interviews with the resident services director and a resident. The resident reported dissatisfaction with staff assistance during showering but denied rough handling. The allegations were deemed unsubstantiated, and no deficiencies were cited.

The complaint involved allegations that staff handled a resident roughly and did not treat the resident with respect. After investigation, including interviews and document review, the allegations were found unsubstantiated.

Licensing Program Analyst Teresa Camara conducted a collateral visit regarding a complaint for another facility (complaint control number 29-AS-20240612094331).

No deficiencies were observed during the visit. An exit interview was conducted and the report was issued.

The visit was related to a complaint investigation for another facility, identified by complaint control number 29-AS-20240612094331. No deficiencies were found at this facility.

Licensing Program Analyst Teresa Camara conducted a required annual visit to ensure the facility's compliance with Title 22 Regulations and to assess health and safety conditions.

The facility was found to be in compliance with no health or safety hazards observed. Fire safety equipment was properly maintained, common areas and resident rooms were clean and well-maintained, and infection control and emergency disaster plans were adequate. No citations were issued during this visit.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations and ensure health and safety standards were met.

The facility was found to be in good condition with no health or safety hazards observed. All common areas, kitchen, outdoor spaces, bedrooms, restrooms, and records were compliant with regulations. Medications for three residents were reviewed with one minor labeling issue noted for over-the-counter medications. No citations were issued.

An unannounced Required - 1 Year inspection was conducted to evaluate the facility's compliance with infection control practices and other regulatory requirements.

The inspection found several infection control and safety issues, including accessible hazardous items such as medications, scissors, tools, and alcohol to residents, posing immediate health and safety risks. The facility had adequate infection control supplies and safety equipment but failed to secure certain items properly.

The visit was an unannounced complaint investigation conducted to deliver findings related to multiple allegations concerning resident care and facility conditions at Atria Las Posas.

The investigation substantiated allegations that a resident's room was not properly maintained, the resident was not provided comfortable accommodations, was not properly groomed, laundry needs were not met, and the resident was charged for services not received. One allegation regarding unmet dental needs was unsubstantiated.

The complaint investigation was substantiated for allegations related to poor room maintenance, uncomfortable accommodations, inadequate grooming, unmet laundry needs, and charging for services not received. The allegation regarding unmet dental needs was unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that a resident was not having their needs met, the facility was failing to adhere to a special diet for the resident, and that the resident was placed at the facility against their will.

The investigation found that the resident had a private caregiver for doctor appointments and grocery shopping, the facility made efforts to accommodate the resident's special diet despite some disagreements, and the resident was not placed against their will but moved in with family support. All allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included unmet resident needs, failure to adhere to a special diet, and involuntary placement. Interviews and record reviews showed the resident had a private caregiver, dietary accommodations were made, and the resident moved voluntarily with family assistance.

The visit was a required unannounced annual inspection with a specific emphasis on infection control practices and procedures.

The facility was found to be in compliance with health and safety regulations, including clean and appropriately furnished resident bedrooms, sanitary restrooms, well-maintained common areas, and adequate infection control practices. No citations were issued during the visit.

The inspection was initiated as a Case Management - Incident inspection due to a self-reported incident report involving two residents, occurring around February 23, 2021.

The Licensing Program Analyst conducted a telephonic complaint investigation due to COVID-19 mitigation measures and did not observe any health and safety concerns during a virtual tour of the facility. Further investigation was assigned to an investigator.

The visit was complaint-related based on a self-reported Unusual Incident/Injury Report (LIC 624) involving Resident #1 and Resident #2. The investigation was ongoing and assigned to an Investigations Branch Investigator.

report_15_565800476_inx14_2024-08-06.pdf