Aegis Living Corte Madera

FACILITY EVALUATION REPORT

The inspection identified two deficiencies: one Type B related to failure to follow an Individualized Service Plan during a resident transfer, and one Type A concerning a medication error. The facility has taken corrective actions for both incidents, and the report notes that the deficiency related to the Individualized Service Plan will be cleared during the visit. The medication error deficiency also has a plan of correction in place.

The facility underwent an unannounced Case Management - Incident Visit to follow up on two self-report incidents. The report details a review of the resident's fall and subsequent medical events, including hip fracture and surgery. Crucially, the narrative explicitly states that no deficiencies were cited during this visit.

The visit was a Case Management follow-up regarding three self-reported medication incidents for residents R1, R2, and R3. The primary deficiency cited relates to medication administration failures due to pharmacy delays. The facility was advised on retraining and implementing new monitoring procedures to improve medication management.

The inspection was a Case Management follow-up regarding a resident elopement. Two Type A deficiencies were cited, both related to the failure to provide adequate supervision, which created an immediate risk to the resident's safety. A civil penalty of $500.00 was issued for Zero Tolerance and Absence of Supervision.

The inspection revealed three deficiencies, two of which are classified as Type A, indicating immediate health and safety risks. The most critical findings relate to dangerously high hot water temperatures in resident bathrooms and unsecured toxic chemicals in storage closets. Additionally, there was a Type B deficiency concerning the failure to timely submit required incident reports to the licensing agency.

The facility underwent a Case Management visit on November 6, 2024, following a self-reported incident concerning a resident in memory care. The Licensing Program Analyst verified that required parties, including local police, the responsible party, and the Ombudsman, were notified. No citations were issued during this inspection.

This was a Case Management follow-up inspection prompted by a self-reported elopement incident. Two Type A deficiencies were cited, both related to the care of residents with dementia, specifically concerning wandering and supervision protocols. The facility was required to implement immediate safety measures and submit a Plan of Correction.