Park Senior Villas at la Canada - Villa a.

“Based on observation, record review, and documentation review, the manager failed to ensure a caregiver provided current documentation of first aid and cardiopulmonary resuscitation (CPR) training before providing assisted living services for one of two personnel records reviewed. The deficient practice posed a risk if a caregiver was unable to meet a resident's needs during an emergency.   Findings include:   1. During a tour of the facility, the compliance officer observed E3 working as a caregiver during the inspection.   2. A review of E3's personnel record revealed documentation of CPR and first aid training which expired on December 6, 2025. 3. A review of the facility’s policy and procedure manual revealed a policy titled “CPR & First Aid Policy & Procedures”. The “PROCEDURE” stated, “1. Before providing personal or directed care services to a resident, a manager, caregiver, or volunteer provides documentation of CPR and First Aid training that: a. Is current at all times…” 4. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that medication administered to a resident was administered in compliance with a medication order for one of two resident records reviewed.  Findings include: 1. A review of R2's medical record revealed R2 received personal care services and medication administration. 2. Further review of R2’s medical record revealed a signed list of medication orders dated January 14, 2026, for "MIDODRINE HCL 5 MG TABLET … TAKE 1 TABLET BY MOUTH EVERY 8 HOURS FOR HYPOTENSION *HOLD FOR SBP OVER 130*”.   3. A review of R2’s Medication Administration Record (MAR) dated April 2026 revealed R2 was administered Midodrine 5 MG on the following dates when the systolic blood pressure (SBP) was above 130:   - On April 5, 2026, R2’s recorded SBP 136; - On April 11, 2026, at 6 am, R2’s recorded SBP 135; - On April 11, 2026, at 10 pm, R2’s recorded SBP 135; - On April 17, 2026, R2’s recorded SBP 136; and  - On April 23, 2026, R2’s recorded SBP 132. 4. Further review of R2’s MAR revealed R2 was not administered Midodrine 5 MG on April 7, 2026, when R2’s recorded SBP was 125. 5. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on documentation review, observation, and interview, the manager failed to ensure a facility authorized to provide directed care services had a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort and provided access to an outside area which controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a potential elopement risk to residents. Findings include: 1. A review of the Department's documentation revealed the facility was authorized to provide directed care services. 2. The Compliance Officer observed when exiting from a back door leading to the backyard, no alarm sounded to alert employees of the egress of a resident from the facility. Further inspection of the alert revealed it was switched to the off position. 3. In an interview E1 acknowledged the back door did not have a door alarm turned on, to alert employees of the egress of a resident from the facility. The Compliance Officer observed E1 switch the alert to the on position and verify it was operational.”