Complaint·October 17, 2024

ALLEGATION: QUESTIONABLE DEATH It is alleged that resident #1s (R1) death is questionable due to care at the facility. On 10/17/24 from 11:10am - 11:35 am LPA Day interviewed S1- S3 , 3 of 3 staff deny the allegation. LPA Day reviewed the Death certificate of R#1 and spoke with R#1s Hospice Agency (Skirball Hospice Agency) (W1) who ensured that they had no concerns with the facility care for R#1. On 3/22/24 LPA Mario Leon interviewed S1-S3 , 3 of 3 staff who deny the allegation . LPA Day reviewed R#1 death certificate which indicates the death was due to Cardiopulmonary Arrest with Myelodysplastic Syndrome. Based on information gathered including records review, interviews , physician’s report and death certificate there is no sufficient evidence to corroborate the above allegation. Therefore the LPA finds this allegation to be UNSUBSTANTIATED. ALLEGATION: STAFF DID NOT ENSURE CARE PLAN WAS FOLLOWED FOR RESIDENT It is alleged that the facility staff did not follow the care plan for Resident #1 (R1).On 10/17/24 from 11:10am - 11:35 am LPA Day interviewed S1- S3 , 3 of 3 staff deny the allegation. On 3/22/24 LPA Mario Leon interviewed S1-S3 , 3 of 3 staff deny the allegation . All staff interviewed were consistent with their statements that R#1 was checked on and rotated every 2 hours. On 10/17/2024 LPA Day spoke with Skirball Hospice Agency (W1) who visited the facility every 2 days and ensured that they had no concerns with the facility care for R#1. LPA Day reviewed staff roster and ensured the staffing is within Title 22 guidelines. Based on information gathered including records review, interviews , physician’s report there is no sufficient evidence to corroborate the above allegation. Therefore the LPA finds this allegation to be UNSUBSTANTIATED. ALLEGATION: STAFF DOES NOT ENSURE FACILITY HAS A 3 DAY OF PERISHABLE FOOD FOR RESIDENTS IN CARE It is alleged that the facility does not ensure that there is 3 days of perishable food for the residents in care On 10/17/24 from 11:10am - 11:35 am LPA Day interviewed S1- S3 , 3 of 3 staff deny the allegation. Staff were consistent with their statements that food is purchased every 2 weeks and there is always enough food . LPA Day interviewed R2-R3 who were consistent in their statements that there is always plenty of food During todays visit (10/17/24) LPA Day toured the facility and observed the food supply both perishable and non perishable and found that the food supply was adequate at time of visit. Based on the information gathered, interviews conducted and the observation of the LPA there is no sufficient evidence to corroborate the above allegation. Therefore the LPA finds this allegation to be UNSUBSTANTIATED. ALLEGATION: STAFF DOES NOT ENSURE REPORTING REQUIREMENTS ARE FOLLOWED It is alleged that the facility staff does not ensure reporting requirements are followed. On 10/17/24 from 11:10am - 11:35 am LPA Day interviewed S1- S3 , 3 of 3 staff deny the allegation. Staff were consistent with their statements that all unusual incidents are reported to Licensing, doctors and family members. LPA Day reviewed trainings of all staff of which including reporting requirements. LPA reviewed previous incident reports in file. Based on the information gathered and the observation of the LPA there is no sufficient evidence to corroborate the above allegation. Therefore the LPA finds this allegation to be UNSUBSTANTIATED.