complaint·July 14, 2025

Regarding the allegation : Staff not rotating resident resulting in pressure sores. It is being alleged that resident #1 (R1) had pressure sores on their back, buttocks, and shoulders. LPA Saucedo requested medical records from Northridge Hospital and the medical records confirmed that R1 did not have any pressure sores. LPA Saucedo also called the skilled nursing where R1 is currently located, and they also confirmed R1 did not have any pressure sores, and they are not treating R1 for any pressure sores. R1 was also under Mensa Hospice care while at the facility, and they also confirmed that R1 did not have any pressure sores and/or was not being treated for any pressure sores. In addition, LPAs received R1’s hospice notes that indicated R1 did not have any pressure sores. Furthermore, LPAs conducted three (3) staff interviews that confirmed R1 did not have any pressure sores. Therefore, based on the LPA's record reviews, medical records, hospice notes and staff interviews conducted, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation : Staff are not providing resident with food. It is being alleged that resident #1 (R1) was not being provided with food. Since R1 was under the Mensa Hospice Care, LPAs reviewed hospice notes that confirmed mechanical soft diet (puree-smooth foods) was being provided to R1 because R1 could not have normal food. LPAs interviewed three (3) staff that confirmed that R1 could not intake any hard food so R1 was being provided puree food such as Ensure. LPA Saucedo requested medical records from Northridge Hospital and the medical records confirmed Northridge that R1 was put on Intravenous therapy (IV) fluids and was provided G-tube feeding while in the hospital because R1 could not swallow any solid foods and failed the hospital swallow study conducted by the GI consult-Gastroenterologist which allowed R1 to be put on a G-tube. Therefore, based on the LPA's record reviews/medical records, hospice notes and staff interviews conducted, the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the resident care director. Regarding the allegation : Staff not providing resident with water. It is being alleged that resident #1 (R1) was not being provided with water. On May 4 th , 2025, R1 was taken to Northridge hospital. Northridge medical records indicated that R1 was severely dehydrated and was thus admitted to the Intensive Care Unit (ICU). In addition, the Emergency Medical Services (EMS) that transported R1 to the hospital stated to the hospital that R1 was dehydrated. Furthermore, Intravenous fluid hydration had to be provided to R1 for the dehydration. Three (3) staff stated that they did not know R1 was dehydrated. Therefore, based on the LPA's record reviews/medical records and staff interviews conducted the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued, appeal rights were provided, and a copy of this report was given to the resident care director.