Complaint·November 16, 2021

On 08/31/2021 3 out of 6 clients interviewed stated that they got helped by staff whenever they needed it, client R3 stated “Yes, (I get helped) immediately.” 1 out of 6 clients R4 did not provide an answer when asked 1 out of 6 clients was neutral, R5 stated they “I never really needed help.” and 1 out of 6 clients stated they did not get helped by staff whenever they needed help. Caregiver S1 stated “R1 did not have a catheter, R1 always peed in their diapers... I was not here when they called 911, R1 was no longer here when I came back." S2 stated “I was not working here yet." The administrator stated ‘Prior to the paramedics arriving, I told former caregiver S3 not to touch or move R1. The paramedics then told me that they will make a report about R1 having feces when they got here." Witness W1 stated “Due to it being the peak of COVID-19 at the time, I did not see R1 during their stay at Beit Shalom." On 09/08/2021 LPA Coronel did not observe records of C1’s Foley Catheter. On 09/23/2021 S3 stated “C1 does not have Catheter Care Records." On 11/12/2021 Special Investigator Assistant Veronica Padilla reported that Olympia Medical Center and Kaiser Hospital were not able to provide any Hospital Medical Records based on C1’s information on file. Regarding the allegation: “Staff neglect led to hospitalization of resident.”; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted and a copy of this report was provided to Miriam Rudes.