complaint·February 1, 2023

Allegation: Staff are not answering call buttons timely LPA L. Fontanilla interviewed 4 out of 7 caregivers on January 19 and 20, 2023. Staff interviewed state that each time a staff responds to R1’s pendant call, R1 would not let the staff leave the room to attend to other residents until R1 is finished. Staff state that R1 would use the toilet from 45 minutes to an hour. And during those times, staff stayed with R1 and never left the room. In cases wherein the staff gets a call from other residents, staff would ask another caregiver to attend to the other residents. On January 20, 2023, LPA L. Fontanilla reviewed pendant call log. Based on the log, R1 pressed pendant 4x on 9/26/2021 as follows: Initiation Date Time Response Date Time Response Time 9/26/2021 8:42:18AM 9/26/2021 8:47:51 5 m 9/26/2021 10:02:00AM 9/26/2021 10:07:05 5 m 9/26/2021 1:12:42PM 9/26/2021 1:24:00 12 m 9/26/2021 3:03:35PM 9/26/2021 3:06:11 3 m Caregivers interviewed state that average response time to pendant calls is 10 minutes. Allegation: Staff are not meeting residents needs On January 19 and 20, 2023, LPA L. Fontanilla interviewed 4 out of 7 caregivers. Staff interviewed state they are aware of R1’s needs as indicated in the Needs and Services Plan. And that all the care indicated in the care plan were provided to R1. Caregivers interviewed state there were times R1 would ask staff to do tasks which are not indicated in the care plan. Staff would explain to R1 the reason why staff cannot do the tasks for R1. All staff interviewed state that R1 was alert, able to communicate and did not have Dementia diagnosis Staff added R1 would complain if the caregivers do not attend to meet the needs of R1. Continue on LIC9099-C Allegation: Staff are not providing the quantity of food to meet residents needs Based on interview conducted by LPA L. Fontanilla with 4 out of 7 caregivers, R1 was alert and did not have Dementia diagnosis. Caregivers provided R1 with the menu. R1 would call Front Desk to place order for food. Caregiver will pick up food from the kitchen and deliver to R1’s room. Caregivers interviewed state that R1 never complained about the quantity of food served. A review of hospice notes indicate that R1 was diagnosed with “Dysphagia, worsening with patient generally eating 3 small to medium sized meals 3x daily that take more than 60 minutes to eat. Patient sometimes fatigues before finishing or misses meals with appetite….” Based on interviews and records reviewed, the above allegations are unsubstantiated. Although the allegations 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. There is no deficiency noted. Exit interview was conducted with XXX and a copy of this report was provided.