Pleasanton North Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pleasanton North Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Apr 24, 2024

  Based on observation, interview, and record review the facility failed to ensure residents had the right to be free from abuse, neglect, and misappropriation of property for 2 of 8 residents (Residents #1 and Resident #5) reviewed for abuse, in that: 1. The facility failed to ensure Resident #1 was free from physical abuse when RN A and NA H restrained the resident using a gait belt wrapped around the resident's abdomen from 10/08/2023 to 3/01/2024 and secured to his wheelchair behind the resident to prevent the resident from standing, used furniture to prevent movement by Resident #1 in his wheelchair and emotional abuse from RN A. 2. The facility failed to ensure Resident's #1 and #5 were free from verbal abuse when RN A used derogatory language and profanity directed at the residents. […]

• Immediate jeopardy, patternF604Apr 24, 2024

  Based on observation, interview and record review the facility failed to ensure that residents are free from physical or chemical restraints imposed for purpose of discipline or convenience and that are required to treat the resident's medical symptoms for 1 of 8 (Resident #1) residents reviewed for restraint, in that; The facility failed to ensure that Resident #1 was free from restraint when RN A and NA H tied Resident #1 to a wheelchair with a gait belt wrapped around his abdomen and secured behind the resident out of reach and by using furniture to block his movement while in the wheelchair on multiple occasions from 10/082023-03/01/2024. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 4/18/2023 at 5:27 p.m. […]

• Immediate jeopardy, patternF607Apr 24, 2024

  Based on record review and interview the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect and exploitation for 1 of 8 residents (Resident #1) reviewed for restraint and abuse, in that; The facility failed to develop and implement and abuse policy that clearly defines restraint as abuse and ensure staff had the knowledge of how and where to report allegations of restraint and abuse. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 4/18/2023 at 5:27 p.m. The IJ template was provided to the facility on [DATE] at 5:31 p.m. […]

• Immediate jeopardy, isolatedF600Jun 7, 2024

  Based on interview and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 8 residents (Resident #11) reviewed for abuse. The facility failed to ensure CNA A was suspended pending an allegation of abuse or neglect when Resident #11 became combative with care. CNA A did not discontinue care or call for help when Resident #11 became combative. Resident #11 sustained skin tears to his hands, bruising to hands, skin tears to his forearms, and a left-hand fracture. On 6/5/24 at 7:15 p.m. an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF607Jun 7, 2024

  Based on record review and interview the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect and exploitation for of 8 residents (Resident #1) reviewed for neglect and abuse, in that; The facility failed to implement its abuse policy and procedures when Resident #11 obtained skin tears, brusising to hands, skin tears to his forearms, and a left-hand fracture after peri-care with CNA A. On 6/5/24 at 7:15 p.m. an Immediate Jeopardy (IJ) was identified. […]