Unresolved Deficiencies in Resident Rights, Quality of Care, Food Safety, and Infection Control
Penalty
Summary
The facility failed to correct deficiencies identified during the prior recertification survey conducted by the California Department of Public Health. These deficiencies were related to Resident Rights, Quality of Care, Food Safety, and Infection Control. The ongoing issues were confirmed through interviews and record reviews, which revealed that the facility's Quality Assurance and Performance Improvement (QAPI) program, although meeting regularly and including key leadership and department heads, did not fully resolve the previously cited deficiencies. The Administrator acknowledged that the QAPI committee reviews data, tracks trends, and conducts root cause analyses when issues are identified. However, the Administrator also stated that the previous deficiencies persisted due to inconsistent staff education, lack of monitoring, and insufficient follow-through on corrective action plans. As a result, the facility continued to have unresolved issues in ensuring resident dignity, quality care, food safety, and infection control.