complaint·March 13, 2024

Regarding the allegation “Staff did not respond to resident's call for assistance” it was alleged that staff did not respond when Resident #1 (R1) used the call system on 02/14/2024 for assistance with a blood pressure reading. Interview with the ED at 10:45 a.m. today revealed R1 called for assistance approximately four (04) to six (06) times each day and demanded assistance from a med tech specifically. The ED explained to R1 that staff will reasonably address their concerns. Interview with Staff #1 (S1) at 3:00 p.m. on 02/20/2024 revealed R1 was independent and could record their own blood pressure. Interview with Staff #3 (S3) at 3:30 p.m. on 02/20/2024 revealed staff respond to all call button requests of residents in a timely manner, regardless of their needs. S3 confirmed that R1 uses the call button very frequently. Record review of R1’s medical assessment revealed they had a full capacity for self-care including bathing, grooming, dressing, toileting, and managing cash resources and medications. LPA tested the call button system of Room 219 at 9:55 a.m. Staff #5 (S5) arrived at 10:07 a.m. to assist the resident. LPA tested the call button system again at 3:27 p.m. today, and staff arrived at 3:29 p.m. Based on interviews, record review, and observations, staff respond to resident calls for assistance. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff do not provide daily activities for residents in care” it was alleged the facility does not provide physical activities for residents. Interviews with Staff #2 (S2) at 3:10 p.m. and Staff #3 (S3) at 3:30 p.m. on 02/20/2024 revealed the facility did not offer activities when the Activities Director (AD) had to drive residents. Interview with S4 revealed that today’s morning exercise would not occur because the AD had to drive Resident #2 (R2) to a medical appointment around 10:00 a.m. and would not be able to lead the morning exercise. At approximately 10:30 a.m., LPA observed staff assisting residents to attend morning exercise. S4 then stated that R2’s appointment and the morning exercise had been rescheduled. Interview with the AD at 10:05 a.m. on 03/08/2024 revealed they are also the facility driver and activities are always provided for residents. Sometimes few or no residents attend so it may seem like no activities are occurring. Interview with the ED and the AD revealed the facility will be hiring a full time driver by 03/18/2024. Record review of the facility’s plan of operations revealed “physical activities such as games, sports, and exercise” are “planned throughout each month”. Review of the March activity calendar revealed “Morning Exercise” was scheduled at 9:30 a.m. today. During the facility tour, LPA observed puzzles, books, and board games throughout the facility as well as a posting for “Flex, Stretch, Move” Mondays through Fridays at 9:30 a.m. Based on interviews, record review, and observations, physical activities were provided to residents but outside of the scheduled time. Therefore, the allegation is deemed UNSUBSTANTIATED at this time and a note of Technical Assistance is issued to ensure residents are provided activities each day pursuant to California Code of Regulations (CCR) section 87219.No immediate health and safety risks were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.