complaint·April 5, 2024

1) Staff stole resident's personal property It was alleged that staff stole R1’s money and cellphone. Interview with R1 reveal that they thought staff stole money and cellphone when away from the facility for a couple days. R1 indicated that when they returned the money and cellphone was at the facility and locked. Interviews with residents revealed that they have never experienced any of their personal property being stolen. Staff interview revealed that R1 has never reporter money and cellphone being stolen. General Manager(GM), indicated that R1 called from the hospital and informed her that cellphone was left at the facility. GM immediately searched for the cellphone, found it and locked it in the office. When R1’s came back to the facility GM returned the cellphone. GM indicated that R1 never reported staff stealing money. A review of R1’s Personal Property Inventory dated 03/18/2024 does not indicated that R1 has a cellphone or money. Based on interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 2) Staff did not ensure resident's dietary needs are met It was alleged that staff has not fed R1 the appropriate diabetic food. Interview with R1 reveal that staff are providing appropriated diabetic food but they sometimes can not wait for meal time so they order fast food using Uber Eats service. Interviews with residents revealed that they receive appropriate diabetic food. Staff interviews revealed that R1 has been provided appropriate diabetic food. GM indicated that R1 has not request food before or after meal time. Facility staff provides food before or after meal time upon resident's request. A review of facility Resident’s Special Dietary Needs indicated that R1 receives diabetic food. Physician's Report indicated that R1 has an eighteen hundred (1,800) calorie special diet. Facility menu is created and approved by Dietitians of OC monthly. Based on interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 3) Staff did not ensure resident's toileting needs are met It was alleged that at times R1 has woken up on they bodily fluid. Interview with R1 reveal that has not woken up on bodily fluid and does not need any toileting needs. R1 indicated that they can perfectly walk, does not need diapers and is independent. Interviews with residents revealed that staff ensure all their toileting needs are met. Residents did not have any concerns about toileting needs. Staff interviews concede with R1’s response. A review R1’s Physician Report indicated that R1 is able to care for own toileting needs. Based on interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 1) Staff intimidate residents in care It was alleged that staff intimidate R1 by not allowing they to leave the facility. Interview with R1 reveal that they do not get intimidated by staff and has not want to leave the facility. Interviews with residents did not indicate any concerns about staff intimidating them. Resident (R5) indicated I communicate with staff and they are nice with me. Staff interviews reveal that R1 has not reported feeling intimidated by staff because they wanted to leave the facility. During physical plant tour, LPA did not observe staff intimidating residents in care. A review of facility Inservice Training dated 03/14/2024 indicated that staff received training on "How to Communicate & Positive Approach to Dementia Care Customer Service". R1’s Physician Report indicated that R1 is not able to leave the facility unassisted. Based on interviews, observation and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview conducted and a copy of the report was issued.