complaint·February 20, 2025

On the allegation, "Staff are not responding to resident's call button in a timely manner"; it is the concern of the reporting party that in case of an emergency a resident can die due to pendant calls not being answered in a timely manner. It was further reported that on 02/09/25 resident 1 (R1) around 7:30 a.m. pressed their call button and no one went, R1 then called the front desk and left a message, and waited for an additional 30 minutes until someone went to their room. Interviews conducted with staff revealed that caregivers are primarily the ones that respond to the resident’s call buttons and try to respond as quickly as they can but MedTechs and other staff will assist as well with the pendant calls to ensure they are answered in a timely manner. However staff interviews revealed that even though it does not happen often, residents have waited over 15 minutes to be assisted, it all depends if they are short staffed and how busy they are. Interviews conducted with ten (10) randomly selected residents revealed that four (4) out of the ten (10) residents do not use their pendant button as they are independent. Two (2) residents revealed staff gets to them as timely as possible, and four (4) residents revealed that it can take staff a long time to respond to their pendant calls with some revealing that they have waited over 30 minutes for assistance. Additionally, a review of the pendant call log response times revealed that on 2/09/25, R1 did not have a registered pendant call around 7:30 a.m., however, R1 did have two (2) pendant calls that took over 25 minutes to respond to on that same date. Furthermore, the pendant call log revealed that in about 21 pendant calls from various residents on 02/09/25, residents waited over 20 minutes for assistance including 12 calls that were answered after 30 minutes of waiting. Based on the information gathered through interviews, and file review, the allegation Staff does not respond to resident's call button in a timely manner is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations (CCR), the following deficiency is cited (refer to LIC 9099-D).Civil penalty was issued. Exit interview was conducted and a copy of the report and Appeal Rights were issued.