Violation Details: CALMS - 00083384

Date
3/27/2025
Report number
CALMS - 00083384
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to meet the scheduled and unscheduled needs of residents
Result
Substantiated
Findings
Based on interview and record review, conducted during a site visit on 04/24/25, the facility’s failure to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident was substantiated. The facility’s posted staffing schedule indicated: For the residential care facility, for day and evening shifts, there were 2.5 caregivers and one medication aide, and for night shift, one caregiver and one medication aide; For the memory care, for day and evening shifts, there were 2.5 caregivers and one medication aide, and for night shift, one caregiver and one medication aide; and For specific needs contract residents, for day and evening shifts, the ratio was one staff for four residents, and for night shift, the ratio was one staff for six residents. The facility staff schedule for 03/27/25 indicated the facility was not staffed according to their posted staffing plan for two of nine shifts, of the time reviewed. It was determined the facility’s failure to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident was substantiated.