Park Senior Villas at La Canada - Villa M

Violation cited

Based on record review and interview, the manager failed to ensure a resident had a written service plan when initially developed and when updated, that was signed and dated by the manager, for one of three resident records reviewed. Findings include: 1. A review of R3's medical record revealed service plan dated December 6, 2024, for directed care level services, did not include the manager's dated signature. 2. In an interview, E2 acknowledged the reviewed residents' service plan did not include the manager's dated signature.

Based on documentation review, and interview, the manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk of physical and/or psychosocial harm. Findings include: 1. A review of facility documentation revealed an incident report and documentation of an investigation into the incident. The documentation revealed an interaction involving E4, E5 and R3, which occurred on July 17, 2024, at 11:33 am. The documentation revealed R3 had a medical condition which impaired R3's ability to communicate clearly. The report further revealed E4 asked R3 if R3 was hungry and threatened to withhold food if R3 did not stop making noise. The report also revealed E5 was observed threatening to leave R3 in bed all day if R3 continued to make noise. Management was made aware of the information and immediately had E4 and E5 escorted off the premises and later terminated. 2. In an interview, E1 acknowledged R3 was treated without dignity, respect and consideration by E4 and E5. E1 further acknowledged the incident was reported to Adult Protective Services.

Based on record review and interview, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for one of three resident records reviewed. Findings include: 1. A review of R2's medical record revealed a signed medication order for Amlodipine 10 MG, dated on June 18, 2024, which stated, "TAKE 1 TABLET BY MOUTH ONCE DAILY HOLD IF SYSTOLIC BLOOD PRESSURE LESS THAN 110". 2. A review of R2's MAR dated January 2025, revealed R2's blood pressure was recorded as 107/64 on January 13, 2025 and 107/56 on January 14, 2025. The MAR revealed Amlodipine was administered on January 13, and 14, 2025. 3. In an interview, E1 acknowledged R2's medication was not administered in compliance with a medication order.