complaint·July 16, 2021

A second doctor's order dated 4/22/2020 was also given to the facility stating that R1 should be given the protein drink twice a day. However, facility assessments/care plans dated 2/20/2020 and 5/5/2020 did not include doctor's order for protein drink twice a day. Doctor's order for protein drinks was added into facility assessment/care plan dated 5/7/2020. Based on LPA information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22 is being cited on the LIC 9099D. Exit interview conducted. A copy of this report and appeal rights provided. after R1's admission to the facility. Interview with staff revealed that R1's menu was created and agreed upon by R1's responsible party. Facility care notes have documented R1's appetites on various days. Staff are not meeting residents incontinent needs: Interview with staff revealed that incontinence care is every 2 hours. Staff stated that R1 is check every 2 hours to see if she needs assistance to go to the bathroom. Staff stated that facility does not keep incontinence care notes and caregivers would verbalize care given at shift change. Staff are not following the care plan: Interview with staff revealed that showers have been given 3 times a week to R1. Staff stated that showers are usually given in the morning by AM shift caregivers. R1's facility assessment/care plan shows that showers are on Tuesdays, Thursdays, and Saturdays of each week. Staff did not provided a copy of the care plan to the responsible person.: Interview conducted by LPA T. White with complainant revealed that R1's responsible party received a copy of the care plan 2 day prior to admission. However, the care plan did not detailed R1's care needs. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.