complaint·December 3, 2021

specific care instructions R1 prefers. Record review showed R1 is a two-person assist for most personal care needs. During part of R1’s residency at the facility, R1 did have home health care, however, the home health plan indicated services were provided at a duration of 1 time per week for a 3-week period. Home health was responsible for R1’s skincare, including educating care staff how to keep skin clean and dry and Home Health was responsible for R1’s urinary device care. Facility staff were at the time and continue to be responsible for meeting R1’s personal care needs, including changing sheets/bedding, clothing, incontinence care and all other ADLs for which R1 requires assistance. Record review revealed that during the time period of February 2020, R1 had a diaper change indicated 12 out of 29 total days, sheet changed 13 out of 29 total days and wound care provided 7 out of 29 total days. Therefore, based on interviews and record review, the allegation that “staff failed to ensure resident needs are properly met” is deemed SUBSTANTIATED at this time. Additionally, based on interviews and record review, the allegation that “staff failed to provide comfortable accommodations for resident while in care” is deemed SUBSTANTIATED at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted, todays reports, and appeal rights were reviewed and emailed to the Licensee/Administrator.