complaint·July 12, 2024

LPA Spaeth reviewed residents’ files 9:45 am until 10:15 am. LPA received copies of the residents' documents, the resident roster, the staff work schedule and a copy of the facility menu. Regarding the allegation: Resident sustained an unexplained injury while in care. It’s being alleged that a resident’s leg is bruised and bleeding and the Administrator does not properly document regarding what happened to the resident’s leg. Three (3) of the four (4) staff members (S1, S2, S3) stated there are no residents who currently have wounds and stated there has been no injuries. The Administrator stated a previous resident had a skin tear which was treated by a Kaiser wound nurse during the month of October, 2023. LPA received the facility sign in sheet and observed the nurse had provided wound care to the previous resident. The Administrator stated they had been advised to change the bandages each day and stated the wound was not an injury. Therefore the allegation is unsubstantiated . Regarding the allegation, Staff are providing poor food service. It’s being alleged the meals are lacking, are small, food is not nutritious, and there is not an adequate supply of food in the facility. During LPA's facility tour, LPA observed an adequate supply of food which included dairy, fresh fruits and vegetables, and frozen meat. LPA interviewed one resident (R1) out of the three residents (R2 - R3). R1 stated they are always provided enough food to eat and they like the food that is prepared. R2 and R3 were unable to answer LPA's questions. The menu was posted in the kitchen and LPA observed nutritious food is provided at each meal. S1 - S3 stated there is always an adequate supply of nutritious food. The Administrator stated they purchase food two times a week. Therefore the allegation is unsubstantiated . Regarding the allegation, Staff are not meeting resident’s diapering needs. It’s being alleged residents are left in bed for an extended period of time, and residents diapers are not regularly changed. R1 stated their diaper is changed every two hours and even during the night. R2 and R3 were unable to answer LPA's questions. S1 - S3 unanimously stated they change the resident's diapers every two hours. Therefore the allegation is unsubstantiated . Regarding the allegation, Staff are billing residents for services not provided. It’s being alleged that a resident left the facility due to the facility staff not providing care needed but still charged the resident for care Continued 9099-C and supervision. LPA spoke to a resident's family member at 12:00 noon who stated the facility has never charged for services that were not provided. The family member stated the staff provide the care needed and the facility has never overbilled the resident. The Administrator stated family members have not complained about the services provided and the facility has not overcharged for services rendered. Therefore the allegation is unsubstantiated . Regarding the allegation, staff leave residents in bed for an extended period of time. It’s being alleged the staff are forcing the residents to go to bed at 7pm and the staff leave the resident in bed until 9:00 am. S1 - S3 stated they never force residents to go to bed at 7:00 pm and never leave them in their bed until 9:00 am. R1 stated they make the decision when they go to bed. R2 and R3 were unable to answer LPA's questions. The Administrator denied the allegation. Therefore the allegation is unsubstantiated . Exit interview conducted, and a copy of the report was given.