complaint·January 19, 2022

indicates that R1's was hospitalized, later discharged, and placed in a skilled nursing facility (SNF) for continued care. R1 is currently in a SNF; resident was advised to continue to receive higher level of care through SNF . Physician has indicated that R1 needs higher level of care with the doctor adding that they felt it was unsafe for the resident to return to the facility. LPA spoke to R1, who confirmed no eviction was served by the facility staff. Regarding allegation: Residents not being provided adequate services. During interview with R1, resident indicates that at times residents are unable to get services nor assistance due to caregivers are on lunch. LPA Cardenas interviewed administrator, Amalia who indicates that none of the residents have complained that they aren't being provided with adequate services. Amalia states that lunch is 30 minutes and not all staff go to lunch at the same time. Amalia indicates that R1 needed constant assistance. LPA reviewed services log for the month of December 2021, logs show date and times with services being rendered. LPA observed that R1 request for services averaged eight (8) times per day. LPA reviewed staff schedule for weeks starting 01/23/2022 and ending 02/05/2022; LPA observed seven (7) caregiver staff on shift from 6:30am- 2:30pm; seven (7) caregiver staff from 2:30pm- 10:30pm and five (5) caregiver staff for overnight shift 10:30pm- 6:30am. On Sundays there is an additional staff on schedule in the event a staff calls out. There are two (2) CNA's and two (2) LVN's, a supervisor to assist residents. In addition there are administrative staff available to assist. During tour LPA observed staff throughout the facility assisting residents. LPA Cardenas interviewed residents, the majority of residents indicate that they feel they are being provided with adequate services. When resident needs staff assistance, staff is responsive for most part. One resident indicates that about three months ago, staff was called for assistance and it took staff 1/2 to render services. The majority of the residents indicate that staff respond and provide services within a reasonable time. Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation 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 allegation is Unsubstantiated. An exit interview was conducted with Administrator Amelia and a hard copy was provided.