complaint·April 29, 2025

Regarding the allegation: Staff did not provide medication assistance to resident in care resulting in hospitalization. It is being alleged that resident #1 (R1) did not receive their blood pressure or diabetes medication on 01/01/25. During LPA’s record review, LPA obtained the medication administration record of R1 where it showed R1 took several medications the morning of 01/01/25 including their blood pressure and diabetes medication. LPA also interviewed staff #1 (S1) that provided the medication to R1, and the staff confirmed R1 took their medication. LPA interviewed ten (10) other residents and asked if their medication is provided to them every day and at their designated time and ten (10) residents confirmed that they do not have any problems with their medication being distributed to them. Based on the LPA's observations, record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not provide foods of good quality to residents in care. It is being alleged that the food at the above facility is horrible. LPA obtained the meal menus that are provided to the residents. In addition, there is an alternative menu provided to the residents to chose from other meals if they do not like what is being served and there is two (2) snack vending machines. LPA interviewed ten (10) residents that confirmed the food is either decent, and/or they do not eat meals at the facility because they have their own food in their room or some residents chose from the alternative menu. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff left residents unattended. It is being alleged that a resident was left unattended after complaining of not feeling well. LPA interviewed four (4) staff. (S1) stated they provided R1 with their medication and vitals that morning and observed R1 was fine and alert towards the end of their shift. (S2) stated they were called by a resident around 3:10pm regarding R1 had collapsed on the floor upstairs. S2 called (S3) and (S4) to let them know that R1 collapsed and was on the 2 nd floor. S4 went to the 2 nd floor, called 911 and performed CPR until 911 arrived. When 911 arrived, they continued giving R1 CPR until they were pronounced deceased at 4:02pm. LPA interviewed two (2) residents that confirmed they saw several staff helping R1. One (1) resident confirmed they saw two (2) staff giving R1 CPR-Cardiopulmonary resuscitation. LPA also confirmed with the Los Angeles Morgue to confirm that R1 died of natural causes. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to one of the Jolene Halog, Medication Technician.