Complaint·February 6, 2025

Regarding the allegation Staff did not ensure that a resident received all meals. LPA observed food being served to residents and residents eating in the dining hall. LPA interviewed four facility residents who stated they are served meals daily. Based on observation and interviews, it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation Staff did not ensure that a resident attended a doctor's appointment. Resident 1 missed a doctors appointment on 03/05/2024. Administrator stated the transportation company the facility uses required 5 days advance before any medical appointments notice to transport residents. Administrator stated Resident 1 did not give the required 5 day advance notice before their medical appointment on 03/05/2024. Administrator stated they offered to assist with rescheduling Resident 1's medical appointment and they declined. Based on observation and interviews, it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation Staff did not allow a resident to use a physician of their choice. Resident 1 signed a document titled " House Doctor Agreement" dated 02/23/2024 acknowledging the facility does encourage residents to keep their regular doctor. Based on interviews, and records reviewed it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation Staff did not seek a resident timely medical attention. Resident 1 was admitted to home health almost immediately after being admitted to this facility. Home health called the ambulance on 03/06/2024 and resident was taken to the hospital. LPA was unable to contact Home health to verify the responsibility of the facility, and the responsibilities of home health nurses. Administrator stated they were not aware of any concerns with Resident 1's health that required immediate medical attention. Based on interviews, it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Administrator, Hripsime Makaryan, and a copy of this report provided. Regarding the allegation Staff did not ensure that a resident's floor was maintained clean. Reporting Party stated they witnessed the floor of Resident 1's room to be dirty during a visit to the facility on 02/25/2024. LPA observed During a visit to the facility on 01/10/2025, several resident bedroom trash cans with no lids, and several piles of resident dirty laundry on the floor. Based on observation, and interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. No citing issued on this substantiated allegations as the facility was cited on 02/04/2025 for a similar allegation, please see complaint control #24-AS-20240603163501 to view citing. Regarding the allegation Staff did not treat a resident with dignity and respect. Reporting Party stated Resident 1 reported their brief was changed without any privacy and the door open. LPA observed Resident 2 wearing only a brief and no covering with the door open. Based on interviews conducted and LPA observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation Staff did not give the resident alternatives to food that they are allergic to. Reporting Party stated Resident 1 has several food allergies and facility kitchen staff was not providing adequate food substitutions. LPA interviewed four facility residents who all stated at times they just don't eat because they do not like the facility food and are not given adequate substitutions. Based on interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. No citing issued on this substantiated allegations as the facility was cited on 02/04/2025 for a similar allegation, please see complaint control #24-AS-20240603163501 to view citing. Exit interview conducted with Administrator, Hripsime Makaryan, and a copy of this report along with appeals rights provided.