complaint·August 31, 2023

On 08/31/23, LPA Maldonado conducted interviews with Residents# 3-6 (R3-R6) and reviewed medications for R1. The investigation revealed the following: Regarding allegation: Staff did not prompt resident to shower. It is alleged that R1 is not being prompted to shower when they refuse. LPA was not provided shower logs due to the facility not keeping any. However, a shift assignment note dated 8/14/23 was provided that indicates that R1 accepted a shower and another note, that is not dated, that indicates R1 refused a shower. Per interviews conducted, (4) of (5) staff stated R1 has refused showers in the past, but they encourage whenever possible and don't force residents to do what they do not want. Per the interview with R1, it was stated that staff assist with showers and R1 receives minimal assistance as is able to do it alone. (5) of (5) Residents interviewed stated they are unaware of an incident where a resident was not prompted to shower. Regarding allegation: Staff did not assist resident with physical therapy. It is alleged that when R1 was becoming weak, the facility did not do anything to assist the resident with doing exercises or physical therapy. After review of R1's Physician's Report, it has been noted that R1 is non-ambulatory and requires assistance to walk with a walker. Per the interview with R1, R1 received physical therapy on the day of the initial visit, 8/18/23, takes daily walks around the facility grounds on their own, and likes to join in activities when R1 feels like it. (5) of (5) staff state that R1 did not require physical therapy and if ever required assistance with getting around, staff would assist and supervise. (5) of (6) residents could no corroborate the allegation. Residents interviewed stated staff are always around and are willing to assist however they can with requests and needs. Regarding allegation: Staff administered incorrect medication to resident. It is alleged that R1 may have been given the wrong medication, which resulted in R1 hallucinating and acting strange. Per R1's MARs and medication review, it was discovered that R1's medications are being administered and documented properly by the facility staff. Per interviews conducted, (5) of (5) staff denied administering wrong medications to residents, or seeing R1 acting strange or expressing hallucinations. R1 stated to have no concerns with the way medications are administered or concerns with staff giving something different than R1's medications. R1 stated to be aware of the medications R1 takes. (5) of (6) residents denied the allegations and stated the facility staff are consistent with giving medications daily and as needed. Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are Unsubstantiated. Per California Code of Regulations, Title 22, no deficiencies were observed or cited during today's visit. An exit interview was conducted with Dawnyell Varela and a copy of the report was provided.