Complaint·October 18, 2022

Interviews with Executive Director and staff revealed that staff have not assisted R1 in transferring from the wheelchair to the shower since 09/04/22. A staff was injured while assisting R1 in transferring to the shower and thus the facility's Licensed Vocational Nurse (LVN) determined that R1 needs a higher level of care and have suggested to R1 to move to their Skilled Nursing section because they have bigger bathrooms, hoyer lifts and more staff that will be able to assist with showering. Staff are still assisting R1 in transferring to bed and to the toilet. Residents interviewed revealed that 7 out of 8 residents were unable to corroborate the allegation and they stated they do get shower assistance from the staff. The physician report dated 06/10/22 indicates that R1 is ambulatory and has the capacity to self-care in bathing, grooming, feeding self, toileting needs, and managing own cash resources. R1's service plan and appraisal indicate that R1 will receive help with bathing and 1-2 staff will assist using a sliding board. As of 09/04/2022, R1 has not received assistance with showering. Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099D. Exit interview held and a copy of the report and appeal rights was provided.