complaint·January 24, 2024

Allegation: Staff not allowing residents to leave the facility. Unsubstantiated. On 11/02/2023 LPA attempted to speak to RP and did not receive a return call. On 11/02/2023 LPA interviewed S1 who stated that all residents can leave the facility with their family, and on 11/02/2023 LPA interviewed R2 (found to be capable) who reported observing the residents leave the facility. Allegation: Facility not providing activities to residents. Unsubstantiated. On 11/02/2023 LPA attempted to speak to RP and did not receive a return call. On 11/02/2023 LPA interviewed R2 and R3 (found to be capable) who reported that they participate in music performances; and that the facility offers games, movie nights (residents can come out to the common area, or watch Netflix films in their own rooms), opportunities to go out into the community. R2 and R3 reported that several residents decline to participate. Allegation: Bedridden resident not repositioned. Unsubstantiated. On 11/02/2023 LPA attempted to speak with RP and did not receive a return call. On 01/24/2024 LPA reviewed R1s Physician's Report which does not indicate that R1 is bedridden. Further, on 11/02/2023 LPA observed R1 ambulating and moving about. Allegation: Facility retained resident who can not can not physically and mentally operate own oxygen. Unsubstantiated. On 11/02/2023 LPA attempted to speak with RP and did not receive a return call. On 01/24/2024 LPA interviewed S1 and S2 who reported that R1 Requires oxygen 24/7, that Apria services the oxygen machine, and that R1s physician regularly checks on the oxygen readings. On 01/24/2024 LPA and LPM Jeremy Fong interviewed W1 (R1s conservator for health) who confirmed that R1 had home health monitoring the oxygen, that the Physician is regularly visiting R1 to confirm adequate oxygen administration, and that arrangements are being made for R1 to be admitted to hospice where an appropriately skilled professional will be handling R1 and ensure adequate oxygen administration. Allegation: Facility not allowing family member to visit resident. Unsubstantiated. On 11/02/2023 LPA attempted to speak with RP and did not receive a return call. On 01/24/2024 LPA interviewed S1 who stated that the subject family member (RP) has not been denied entry to visit R1, but that on 09/11/2023 the family member became belligerent and the police were called. When the PD responded, they asked the family member if she was the POA or conservator; when RP stated "no", the PD escorted RP out of the facility. On same date, LPA observed that RP signed in to visit on 09/11/2023. Allegation: Family member was not notified when resident was sent out to the hospital for procedure. On 11/02/2023 LPA attempted to speak with RP and did not receive a return call. On 01/24/2024 LPA interviewed S2 who stated that R1 has a conservator (W1) for health and that is the person they called. S2 stated that W1 would be the one to notify the family. LPA reviewed R1's file and observed that R1 does have a conservator that is not a family member. LPA and LPM spoke with W1 who further confirmed being the appointed conservator. Although the allegations may have happened or are 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 and a copy of this report was provided.