Inspection Reports for St Jude‘s Homes

The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements at St. Lourdes Home.

The inspection identified multiple deficiencies including unsecured medications and hazardous items, incomplete staff training, medication administration errors, and incomplete resident medication records. Civil penalties were assessed for repeat violations and immediate risks to resident health and safety.

The inspection was conducted in response to an Unusual Incident Report regarding a resident (R1) who was found outside the facility with injuries after leaving unassisted.

The licensee failed to ensure auditory exit alarms were armed, allowing R1 to leave unnoticed and sustain injuries. Additionally, unlocked staff medications and disinfectant spray were found accessible, posing immediate risks to residents. Civil penalties were assessed for these deficiencies.

The visit was triggered by a complaint in the form of an Unusual Incident Report about resident R1 leaving the facility unassisted and sustaining injuries. The complaint was substantiated by observations and interviews.

The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations.

The inspection found multiple deficiencies including improper storage of hazardous items, expired and rotten food, medication discrepancies, maintenance issues, and the presence of a bedridden resident without appropriate fire clearance. Plans of correction were discussed with the licensee-administrator.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff dispensed medication that was not prescribed to a resident.

The investigation found that staff offered melatonin to a resident without a prescription, and the facility did not have a medical administrative record for that resident. The deficiency was substantiated and cited under Title 22 California Code of Regulations for failure to comply with medication administration requirements.

The complaint was substantiated. The allegation was that staff dispensed medication not prescribed to a resident. The investigation confirmed this occurred with melatonin given without a prescription.

The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations at St. Lourdes Home.

The inspection found several deficiencies including unlocked cleaning agents posing safety risks, detached transition metal plate and wood plank creating potential hazards, incomplete staff training, and medication for a resident not listed on the current doctor's orders. Plans of correction were discussed and due dates set.

The inspection was an unannounced annual infection control inspection conducted to evaluate compliance with licensing regulations and infection control standards.

The facility was found to have adequate food supplies, proper COVID-19 screening and PPE availability, and operational safety equipment. However, a deficiency was cited for storing toxic cleaning supplies in an unlocked kitchen cabinet, posing immediate safety risks to residents with dementia.

The visit was an unannounced complaint investigation triggered by an allegation that staff was not allowing a resident's visitor into the facility.

The investigation found that the staff initially did not allow the visitor entry due to concerns about the visitor's identification and agency contact information. After verifying the legitimacy of the visitor's agency, the visitor was allowed entry. The allegation was unsubstantiated as there was no preponderance of evidence that a violation occurred.

The complaint alleged that staff was not allowing a resident's visitor, identified as V1 from an advocacy agency, into the facility. The allegation was found unsubstantiated after investigation.

The inspection was an unannounced annual required infection control inspection conducted by the Licensing Program Analyst to assess compliance with regulations.

The facility was generally found to have sufficient supplies and safety measures in place, including COVID-19 protocols, but several deficiencies were noted including lack of N95 respirators and disposable gowns, missing face shields, staff not fit tested for N95 respirators, and bed frames and old mattress stored in the side yard posing safety risks.

The visit was conducted as a case management follow-up related to concerns about a resident's medication and potential financial exploitation by an individual known to the resident.

The Licensing Program Analyst conducted interviews and requested documentation from the licensee-administrator to address concerns about medication administration and possible financial exploitation of a resident. A follow-up on submitted documents was scheduled.

The visit was triggered by a complaint involving a resident (R1) whose medication was taken and concerns that an individual known to R1 was attempting to financially exploit him and become his caretaker.