complaint·August 24, 2023

The investigation revealed the following. Regarding Allegation(s): Staff are not answering facility phone- It is alleged that staff did not answer facility phone on or around 4/15/23. Two (2) out of two (2) staff interviewed deny this allegation. On 8/15/23 at 11:16 am, LPA Ramirez dialed facility phone number and was greeted by unknown staff. During today’s visit, LPA Ramirez observed facility phone to be operational. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff abandoned resident- It alleged staff abandoned R1 at hospital on or around 4/15/23. Two (2) out of two (2) staff interviewed deny this allegation. Interview with W2 revealed that W2 is R1 current physician and has been under W2’s care for the past 10 years. W2 revealed to LPA Ramirez that W2 ordered R1 to be sent to a rehabilitation facility on 4/15/23 and gave those order to hospital staff on 4/15/23. According to W2, R1 required a higher level of care at that time and could not go back to the facility. Admission Record from Coast Care Convalescent Care dated 7/12/23, indicates R1 was admitted into their facility on 4/15/23. Notice of Proposed Transfer/Discharge from Coast Care Convalescent Care dated 7/19/23, indicates R1 will be discharged back to Indian Summer Place on 7/24/23. LPA Ramirez interviewed and observed R1 in the facility during visit. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Administrator Samantha Alex. A copy of this report was provided.