complaint·October 15, 2024

(Continued on 9099) Skill Nursing documentation paperwork dated 12/01/2023 shows R6 with wound which contradicts R6 statement. R1 arrived at facility with wound and currently both are getting Home Health services for their wounds. There is not enough evidence to substantiate this allegation. Allegation: Staff does not provide adequate supervision resulting in residents wandering away from facility. It is alleged that residents have wandered off and put in harms way due to coyotes roaming around. LPA interviewed ten (10) staff and eight (8) of (10 staff) denied the allegation. Six (6) of six (6) residents could not corroborate the allegation. There have been no reports of residents wandering off by local police or other authorities. There is not enough evidence to substantiate this allegation. Allegation: Staff does not have proper training to administer medications. It is alleged that resident assistants that are not trained are administering medications during the overnight shift. LPA interviewed ten (10) staff and nine (9) of 10 (ten) staff denied the allegation. LPA interviewed six (6) residents and six (6) of six (6) residents could not corroborate the allegations. S9 stated that only qualified staff has access to the medications so that cannot occur. S2 stated that only qualified staff are administering medications at facility. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted with and a copy of this report was provided. (continued from 9099) Allegation: Staff do not have adequate staffing to meet resident's needs. It is alleged that facility does not have enough staff to meet resident's needs during the overnight shift. LPA interviewed ten (10) staff and seven (7) of ten (10) staff corroborated the allegation. LPA interviewed six (6) residents and five (5) of six (6) residents were able to corroborate the allegation. Some residents stated staff are very good but sometimes time a long time to assist them during the overnight shift. Some staff interviewed stated that the are stretched thin and have to leave some their assigned building and go to another building to administer medications or assist residents, leaving their assigned building without any staff during that time. Some staff stated that they will seek the assistance of the security guard to help out with resident's needs. Some staff agreed that overnight security guard assists then with residents at times. S2 and S9 also corroborated the allegation and stated security guard will assist staff with lifting residents who have falls overnight at times. Review of staff schedule for the month of August 2024 shows One (1) staff assigned to Birch court and one (1) staff assigned to Cedar court each day. The schedule for August 2024 also shows two (2) staff scheduled for Southwoods Memory care each day, one Med-tech (MT) and one resident Assistant (RA). The October 2024 schedule shows one (1) staff at Cedar court building for the overnight shift, one (1) staff at Birch Court and two (2) staff at memory care each night. The fact that staff have to seek the security guards assistance at times is evidence that facility does not have enough staff to meet the resident's needs during the overnight shift. Based on interviews which were conducted with staff and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Supervisor Desiree Eudave along with the Appeals Rights.