Complaint·April 8, 2021

Allegation #3 - Facility staff failed to communicate with resident's responsible party. Interview with administrator, stated that she was working with the previous Case Manager and she was helping R#1. LPA Soto requesting previous email showing communication with previous Case Manager about medication, stroke, and missed doctor visits. Administrator never produced the emails and could not remember Case Managers name. Interview with W#1, stated she never had any communication with her and was not aware, if administrator had communication with the previous Case Manager. Interviews with S#2 and residents could not very or deny statements. The residents, due to their neurological disorder and/or not available to be interviewed and S#2 is just a care giver doesn't know anything about administration. The interviews with Administrator and W#1 concurred with the above allegation. Based on LPA’s observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiency and issued a citation. telephonic exit interview was conducted with Miriam Rudes, and a hard copy was provided via email for signature and Appeal Rights provided Based on the LPA's investigation, the investigation revealed the following. For Allegation – Facility staff mismanaged resident's medications. The interviews with S#2 stated that for the last 4/5 months medication was given timely. The months prior to October 2020, before the medication was not given. Interview with Administrator stated that for a couple months around midyear of 2020 medication was not being given to R#1, because insurance did not cover the medication. R#1 needed R#1’s medication because R#1 had stroke on December 2019 and it was a necessity for his care. Administrator was not trying to help R#1 get the mediation by other means. Case manager for R#1, was assigned to R#1 on August 2020, she managed to resolve the medication issue and R#1 began receiving R#1’s medication. The mars for June, July, August 2020 are signed as the medication was being given. Interviews with W#1, stated that administrator was not getting Medication for R#1 for couple months prior to her getting assigned R#1. She also stated that when she did manage to arrange medication for R#1, she had to call administrator several times during a span of a few days to have Administrator pick up R#1’s medication and never pick them up. Interviews with residents could not deny or verify statements, due to their neurological disorder and/or not available to be interviewed. The interviews with Administrator, S#2, W#1 and records reviews concurred with the above allegation. Allegation #2 - Facility staff failed to seek resident timely medical care. Interviews with Administrator and S#2, stated that they did not take R#1 to doctor’s appointments because he refused to go into the doctor’s office. Even thought, R#1 had suffered a stroke on December 2019, they still did not take them to doctor appointments. Administrator did not find other means to have R#1 see R#1’s PCP (Doctor.) Administrator did not updated Needs and Services plan. Interview with W#1, stated that the administrator never took R#1 to doctor appointments, even thought R#1 had medical. The Interviews with residents could not deny or verify statements, due to their neurological disorder and/or not available to be interviewed. The interviews with Administrator, S#2, and W#1 concurred with the above allegation.