Palos Verdes Senior Living.

“Based on observation and interview, the manager failed to ensure if an assisted living maintained residents' record electronically, safeguards existed to prevent unauthorized access. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed an unattended med cart on the second floor of the facility with an unlocked laptop. The laptop contained a minimized Google Chrome screen, which, when clicked, allowed the Compliance Officer to access a resident's medical record. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed a cleaning cart unattended in the hallway of the memory care unit. The bottom compartment of the door was unlocked, and the following items were accessible: -A bottle of "Betco" multi-purpose cleaner; -A bottle of "Betco" glass cleaner; -A bottle of "Betco" versiFect cleaner; -A bottle of "Betco" toilet and urinal cleaner; and -A bottle of "Ecolab" stainless steel polish. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided. This citation is a repeat deficiency from an inspection conducted on October 2, 2024.”

“Based on documentation review and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if a staff member was unable to meet a resident's needs during an emergency. Findings include: 1. A review of facility documentation revealed a training program for all staff regarding fall prevention and fall recovery was not available for review at the time of inspection. 2. In an interview, E1 acknowledged documentation of a training program for all staff regarding fall prevention and fall recovery was not available for review at the time of inspection.”

“Based on record review and interview, the manager failed to ensure a resident's medical record contained documentation of the resident's orientation to exits from the assisted living facility, for two of five residents sampled. The deficient practice posed a risk if a resident was unaware of the evacuation path to be used in an emergency. Findings include: 1. A review of R2's and R4's medical record revealed documentation of the resident's orientation to exits from the assisted living facility was not available for review at time of inspection. 2. In an interview, E1 acknowledged R2's and R4's medical record did not contain documentation of R2's and R4's orientation to exits from the assisted living facility at the time of the inspection.”

“Based on observation and interview, the manager failed to ensure toxic materials stored by the facility were stored in a locked area and inaccessible to residents. Findings include: 1. During an environmental inspection of the facility the Compliance Officer observed a bag of "Cascade Platinum" dishwasher detergent pods in an unlocked cabinet below the sink in a all purpose room on the second floor of the facility. 2. In an interview, E1 acknowledged the dishwasher detergent pods were not stored in a locked area and inaccessible to residents.”

“Based on documentation review and interview, the manager failed to establish and document policies and procedures for administering an opioid to protect the health and safety of a patient in compliance with Arizona Administrative Code (A.A.C.) R9-10-120(F). The deficient practice posed a risk as policies and procedures reinforce and clarify standards expected of employees. Findings include: 1. A review of facility documentation revealed a policy and procedure titled "Medication assistance/Administration: Controlled Substance" reviewed September 1, 2023. However, this policy did not cover which personnel members may administer an opioid in treating a patient and the required knowledge and qualifications of these personnel members; how, when, and by whom a patient's need for opioid administration are assessed; how, when, and by whom a patient receiving an opioid is monitored; and when and by whom the aforementioned actions taken are documented. 2. In an interview, E1 acknowledged the policies and procedures did not cover which personnel members may administer an opioid in treating a patient and the required knowledge and qualifications of these personnel members; how, when, and by whom a patient's need for opioid administration are assessed; how, when, and by whom a patient receiving an opioid is monitored; and when and by whom the aforementioned actions taken are documented.”