complaint·February 4, 2022

Allegation: Resident's toileting needs are not being met. It is alleged on Resident's toileting needs are not being met. On 01/29/2021 Witness 1 stated that W` entered the facility and noted R1 had a soiled diaper and the bed was soiled. W1 states that W1 does not think this is elder abuse as R1 had just soiled himself and the night crew had not had a chance to clean R1 and R1 bed. On 01/19/2021 LPA Calderon interviewed administrator S1 who state S1 night staff did not have a chance to clean the resident or R1 bed and that W1 received paperwork stating the resident had been cleaned and R1 bed was changed. On 03/19/2021 LPA Calderon interviewed R1-R3 who stated that staff does take care of their hygiene needs and cleans their room daily. On 02/01/2021 LPA Calderon interviewed S2-S5 who all stated that they always take care of all residents needs to include soiled bedding, hygiene needs, medical attention, and keep records of what they do for residents every day. On 02/01/2021 LPA Calderon reviewed Needs and Service Plan, Pre-Placement Appraisal, MARS (3 months, medical records, Physicians Report and Medication list, ER medical reports and Fire report. The reports state that staff does take care of residents needs and keeps records for review. On 04/28/2022 LPA Calderon interviewed administrator who stated that staff are not trained regarding Catheter replacement and that they call 911 or the hospice staff takes care of the resident’s needs. Administrator states that resident did not have a restrictive care plan as the hospice staff took care of resident’s medical needs or they called 911 Allegation: Resident's hygiene needs are not being met. It is alleged on Resident's hygiene needs are not being met . On 01/29/2021 Witness 1 stated that W1 entered the facility and noted R1 had a soiled diaper and the bed was soiled. W1 states that he does not think this is elder abuse as R1 had just soiled R1 self and the night crew had not had a chance to clean R1 and R1 bed. On 01/19/2021 LPA Calderon interviewed administrator S1 who stated that S1 night staff did not have a chance to clean the resident or his bed prior to LAFD coming to the facility and that W1 received paperwork stating the resident had been cleaned and R1 bed was changed. On 03/19/2021 LPA Calderon interviewed R1-R3 who stated staff does take care of their hygiene needs and cleans their room daily. On 02/01/2021 LPA Calderon interviewed S2-S5 who all state that they always take care of all residents needs to include soiled bedding, hygiene needs, medical attention, and keep records of what they do for residents every day. On 02/01/2021 LPA Calderon reviewed Needs and Service Plan, Pre-Placement Appraisal, MARS (3 months, medical records, Physicians Report and Medication list, ER medical reports and Fire report. The reports state that staff does take care of residents needs and keeps records for review. On 04/28/2022 LPA Calderon interviewed administrator who stated that staff are not trained regarding Catheter replacement and that they call 911 or the hospice staff takes care of the resident’s needs. Administrator states that resident did not have a restrictive care plan as the hospice staff took care of resident’s medical needs or they called 911 Allegation: Facility staff left resident in soiled bedding. It is alleged on Facility staff left resident in soiled bedding . On 01/29/2021 Witness 1 stated that W1 entered the facility and noted R1 had a soiled diaper and the bed was soiled. W1 states that W1 does not think this is elder abuse as R1 had just soiled R1 self and the night crew had not had a chance to clean R1 and R1 bed. On 01/19/2021 LPA Calderon interviewed administrator S1 who stated that S1 night staff did not have a chance to clean the resident or his bed prior to LAFD coming to the facility and that W1 received paperwork stating the resident had been cleaned and R1 bed was changed. On 03/19/2021 LPA Calderon interviewed R1-R3 who stated staff does take care of their hygiene needs and cleans their room daily. On 02/01/2021 LPA Calderon interviewed S2-S5 who all state that they always take care of all residents needs to include soiled bedding, hygiene needs, medical attention, and keep records of what they do for residents every day. On 02/01/2021 LPA Calderon reviewed Needs and Service Plan, Pre-Placement Appraisal, MARS (3 months, medical records, Physicians Report and Medication list, ER medical reports and Fire report. The reports state that staff does take care of residents needs and keeps records for review. 04/28/2022 LPA Calderon interviewed administrator who stated that staff are not trained regarding Catheter replacement and that they call 911 or the hospice staff takes care of the resident’s needs. Administrator states that resident did not have a restrictive care plan as the hospice staff took care of resident’s medical needs or they called 911 Allegation: Facility staff left resident in a soiled diaper. It is alleged on Facility staff left resident in a soiled diaper. On 01/29/2021 Witness 1 stated that W1 entered the facility and noted R1 had a soiled diaper and the bed was soiled. W1 states that W1 does not think this is elder abuse as R1 had just soiled R1 self and the night crew had not had a chance to clean R1 and R1 bed. On 01/19/2021 LPA Calderon interviewed administrator S1 who stated that S1 night staff did not have a chance to clean the resident or R1 bed prior to LAFD coming to the facility and that W1 received paperwork stating the resident had been cleaned and R1 bed was changed. On 03/19/2021 LPA Calderon interviewed R1-R3 who stated staff does take care of their hygiene needs and cleans their room daily. On 02/01/2021 LPA Calderon interviewed S2-S5 who all state that they always take care of all residents needs to include soiled bedding, hygiene needs, medical attention, and keep records of what they do for residents every day. On 02/01/2021 LPA Calderon reviewed Needs and Service Plan, Pre-Placement Appraisal, MARS (3 months, medical records, Physicians Report and Medication list, ER medical reports and Fire report. The reports state that staff does take care of residents needs and keeps records for review. Facility staff do not keep accurate records about resident in care: On 01/29/2021 Witness 1 stated that he entered the facility and noted R1 had a soiled diaper and the bed was soiled. W1 states that W1 does not think this is elder abuse as R1 had just soiled R1 and the night crew had not had a chance to clean R1 and R1 bed. On 01/19/2021 LPA Calderon interviewed administrator S1 who stated that S1 night staff did not have a chance to clean the resident or R1 bed prior to LAFD coming to the facility and that W1 received paperwork stating the resident had been cleaned and R1 bed was changed. On 03/19/2021 LPA Calderon interviewed R1-R3 who stated staff does take care of their hygiene needs and cleans their room daily. On 02/01/2021 LPA Calderon interviewed S2-S5 who all state that they always take care of all residents needs to include soiled bedding, hygiene needs, medical attention, and keep records of what they do for residents every day. On 02/01/2021 LPA Calderon reviewed Needs and Service Plan, Pre-Placement Appraisal, MARS (3 months, medical records, Physicians Report and Medication list, ER medical reports and Fire report. The reports state that staff does take care of residents needs and keeps records for review. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. A telephonic exit interview was conducted with Administrator Angelique Gradney, and a hard copy was provided via email for records