complaint·August 30, 2023

***report continues from LIC9099*** Neglect- facility was not hydrating the resident. An autopsy was performed on R1 on 11/30/2020. “Reason for autopsy: explanation and cause of death…Confirm malnutrition, dehydration, broken teeth, any evidence of an elderly abuse.” The autopsy revealed no abnormal findings. Facility staff did not provide documents to responsible person. During R1’s time at the facility her guardianship was with Alameda County. The guardianship was terminated 1 year after R1’s death. The facility is awaiting instructions from the county as to what, if any, documents the facility can share with the RP. Facility did not follow care plan- food resident could eat was not given. Physician’s Report dated 11/20/2019 stated that R1 was on a regular diet with modifications to guard against an adverse reaction due to her colostomy (ie: low fiber). Facility also provided R1 with nutritious snacks throughout the day. This agency has investigated the complaints alleging: neglect- facility was not hydrating the resident, facility staff did not provide documents to responsible person and facility did not follow care plan- food resident could eat was not given. We have found that the complaints are UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted, a copy of this reported provided.