Facility Evaluation Report

On 5/29/2024 LPA Tryon visited the facility to follow up on an incident that was reported by the facility on 5/24/24 and dated 5/23/24. LPA met with ED Jennifer Fuston and Director of Health and Wellness Kaitlyn Sutherland.

On 5/23/24 a POA for a resident reported that there was concern that a medication had not been given to resident R1 based on the resident's condition at a medical appointment on 5/14/24. The ED and Director of Health and Wellness immediately investigated, and found that staff S1 had signed on the Electronic Medication Administration Record (EMAR) that the medication was being given as per doctor order. Further investigation revealed that the medication had NOT been given, possibly for some period of time. This put R1 at potential serious risk to health and safety. The employment of R1 was terminated, and the medication was re-started as per doctor order. Administrator made appropriate reports to CCL, POA, LTC Ombudsman and Placer County Sheriff. R1 did have a follow-up medical appointment on 5/28/24 and is doing well, the health issue has returned to normal baseline at this time.

The following deficiency is cited as per Title 22 Regulations. Appeal Rights provided, exit interview conducted.