complaint·March 13, 2024

LPA conducted another subsequent visit on 03/08/2024 and interviewed seven (07) out of fifty-nine (59) residents, which was 10% of residents, and four (04) staff members between 8:45 a.m. and 1:00 p.m. Today, LPA interviewed Staff #7 (S7) at 10:15 a.m. and toured the facility at 9:30 a.m. Interview with the former ED revealed caregivers, med techs, and the front desk are alerted on their pagers when a resident uses the call system. S1 confirmed the front desk receives alerts and can notify caregivers of the location of the call. Interview with R1 at 4:00 p.m. on 10/04/23 revealed R1 has heard caregiver pagers going off at the front desk for nearly twenty minutes. Resident #2 (R2) interviewed at 10:20 a.m. on 11/01/23 stated staff have not always come quickly. Resident #3 (R3) interviewed at 2:15 p.m. on 11/01/23, stated staff took a long time to respond to call buttons. Interviews with Resident #4 (R4) at approximately 9:30 a.m. on 03/08/2024 and Resident #5 (R5) at approximately 11:00 a.m. on 03/08/2024 revealed they had to wait over an hour for their calls to be answered. Interview with Staff #2 (S2) at 11:30 a.m. on 11/01/23 revealed care givers respond as quick as they can, but due to short staffing, may take some time if caregivers and med techs are busy. Interview with Staff #3 (S3) at 3:00 p.m. on 11/01/2023 revealed if they were showering a resident, or if another caregiver was on break, there had often been only two caregivers per shift to tend to residents, and call button response times were delayed. Interviews with S4, S5, Staff #6 (S6) at 3:10 p.m. on 02/20/2024, and S7 revealed staff try to respond to requests within 10 – 15 minutes, but if staff need to tend to an emergency or paramedics, some call responses are delayed. Six (06) other staff members stated there were no issues with call response time and staff typically respond within 10 – 15 minutes of a call. During today’s facility tour, LPA observed S7 attend to several residents within a fifteen minute span. LPA tested the call button system of Room 219 at 9:55 a.m. S7 arrived at 10:07 a.m. to assist the resident. LPA tested the call button system of Room 206 at 3:27 p.m. today, and staff arrived at 3:29 p.m. Based on interviews and observations, there are mixed accounts of how long staff take to respond to resident call system requests. Therefore, the allegation is deemed UNSUBSTANTIATED at this time and a note of Technical Assistance is issued pursuant to the California Code of Regulations (CCR) section 87468.2. No immediate health and safety risks were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.