complaint·August 22, 2024

Staff added the rash was immediately treated with Calmoseptine to sooth and help promote healing. During interviews with residents, two (02) out of four (04) residents stated, if needed, that staff would seek medical attention timely. LPA was unable to interview the remaining two (02) residents. A review of R1’s most recent Kaiser Permanente hospital records do not indicate rash or open wound during the month in question. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident sustained unexplained bruises while in care. It was alleged that resident had bruises on their nose. To investigate the allegation, on 05/08/2024, LPA conducted a physical plant tour at around 11:30 AM, interviewed three (03) staff from around 12:30 PM to 1:30 PM and interviewed two (02) out of four (04) residents from around 1:30 PM to 2:15 PM. On 08/22/2024, LPA requested additional documents. During the physical plant tour, LPA did not observe any signs of abuse. During interviews with staff, all staff stated R1 did not have a bruise on the nose, rather it was redness from R1 continuously scratching their nose. Staff added antibiotic ointment was applied to the scratched area three times a day to sooth and help promote healing. A review of R1’s most recent Kaiser Permanente hospital records do not indicate that resident had any bruises or abrasions on their nose during the time in question. Based on observations, interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. - Staff did not ensure resident’s care needs were being met. It was alleged that resident was not showered and repositioned in bed. To investigate the allegation, on 05/08/2024, LPA interviewed three (03) staff from around 12:30 PM to 1:30 PM and interviewed two (02) out of four (04) residents from around 1:30 PM to 2:15 PM. On 08/22/2024, LPA requested documents. During the physical plant tour, LPA did not experience any malodor and observed that all residents were clean and well groomed. (LIC9099-C) During interviews with staff, all staff stated facility residents are showered a minimum three times a week or more depending on their needs. Staff added R1 was not bedridden and did not require assistance with repositioning in bed but often reminded R1 to reposition anyway. During interviews with residents, two (02) out of four (04) residents stated they shower at least twice a week or more if they like, but do not require assistance with repositioning. A review of the resident’s Physician’s Report revealed that resident was not bedridden and did not require assistance with repositioning in bed. Based on observations, interviews and record review, there is not enough information to verify 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.