complaint·May 17, 2024

Page 2 On 8/24/22 and 5/01/24, LPA inspected the food supplies which were observed of different varieties. LPA observed fresh fruits and fresh meat such as pork, beef, and packages of ground beef. On 8/24/22, LPA obtained copies of menus and the food prepared by kitchen staff for dinner for that day was observed consistent with what was listed on the menu. On 5/01/24, LPA observed different varieties of food supplies including but not limited to fresh pork and beef, vegetables, and fresh cantaloupes. All 3 residents interviewed stated they are served different varieties and fresh fruits. Based on information gathered, the allegation is unfounded. Allegation: Facility alarm system in disrepair. It was alleged that the facility’s alarm system did not work. On 8/18/22, LPA spoke and verified with RP the alarm system RP was referring during the complaint intake. RP stated the facility has fire alarm and smoke alarm that do not go off. RP further stated that the Independent Living (IL) has smoke alarm and that there's no notification system on the IL if something is happening on the Assisted Living (AL) and Skilled Nursing (SNF). LPA conducted inspection on 8/24/22, and interviewed previous administrator, David Martinez, on 8/24/22 and 3 residents on 5/01/24. On 8/24/22, LPA tested the smoke and carbon monoxide detectors. Previous administrator stated all the alarms were working including the fire alarm and wander guards for the SNF were working. Based on inspection, interviews and RP’s statement, and that the Department does have jurisdiction on IL and SNF, the allegation is closed as unfounded. .....continued on 900c (page 3) Page 3 Allegation: Staff do not answer residents' call buttons in a timely manner. It was alleged that staff do not answer residents' call buttons in a timely manner and that sometime in 8/2022, the residents’ call lights were not working. It was further alleged that residents scream for assistance however, staff do not assist the residents. On 8/18/22, LPA spoke with RP who stated the call buttons/lights were the ones on SNF that go off frequently and the staff won’t respond. On 8/24/22, LPA interviewed previous administrator, David Martinez, who stated when resident in AL main building west wing area pressed their call buttons, calls are transmitted to the pad on the wall in the main building. The pendant call that goes to the computer is from the Independent Living Cottages. LPA requested S1 and S2 to press the call buttons from residents rooms in AL west wing area and LPA observed the signals were transmitted to the pad. On 5/01/24, LPA interviewed 3 residents, of which one is in the cottage and 2 are in the AL main building rooms. All 3 stated staff come and assist when they call for help. Based on inspection, observation and interviews, the allegation is closed as unfounded. A finding that a complaint is unfounded means that the allegations are false, could not have happened, and/or are without a reasonable basis. No deficiency cited. Exit interview conducted and copy of this report provided to the acting administrator.