complaint·June 11, 2024

At about 11:25a.m. Administrator, Lidush Avetian and Director, Estela Avetyan arrived to the facility and joined the visit. Prior to this visit on 06/10/2024 LPA reviewed R1’s facility records, including but not limited to R1’s incident and/or Death Report(s), Physician’s Report and other documents previously obtained from the facility. 1. Facility staff failed to obtain emergency services timely It was alleged that resident #1 (R1) was unresponsive and staff refused to call 911. Staff interviews reveal that R1 was receiving services from 3 rd party health care provider, due to R1 participating to the Program of All-Inclusive Care for the Elderly (PACE) Program. R1’s incidental medical care services were regulated and provided by the “PACE” Medicare and Medicaid program. Facility staff was instructed by the “PACE” representatives to call them when R1 needs emergency services. However, regardless of instructions received from “PACE” they always call 911 for resident(s) if needed and at the same time, they notify residents health care providers. Facility Administrator indicated that staff never refuses to call 911. Specifically, for R1 they have called 911 several times in the past. Six (6) out of six (6) residents interviews coincided with staff information about calling emergency services as they needed. R3 indicated seeing Emergency Medical Technicians (EMT) attending R1 and walking up and down the hallway. Residents did not address any concerns about facility staff requesting timely emergency services. The information revealed from the interviews, and record review, does not support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 2. Illegally evicted It was alleged that R1 was illegally evicted because of behavior issues. Staff interviews reveal that R1 was not evicted. Staff indicated that R1 smoked in the room and had behavioral problems. Administrator indicated that they verbally warrant R1 that violation of house rules, continuation of unacceptable behavior, and smoking in the room may bring to eviction. No written eviction notice was issued to R1. R2, who was R1’s roommate stated that they did tell R1 that it would not be a good thing to smoke in the room. Six (6) out of six (6) residents interviews revealed that staff never tried to evict them and R1 was never evicted from the facility. A review of R1’s file and other facility records, did not reveal any information to support the allegation. Based on interviews and documents review there is an insufficient information to support the allegations. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazard were noted during this visit. Exit interview is conducted and copy of report was provided to Administrator.