complaint·May 15, 2024

Regarding Allegation #1 : Staff neglected resident. This complaint alleged that staff neglected R1. A1 states that no staff would ever neglect a resident in care. A1 states no staff would ever refuse to call 911. LPA Calderon interviewed S1-S3. 3 out of 3 staff state that they would never neglect a resident in care. 3 out of 3 staff state that staff member would not refuse to call 911 if needed or have words with a resident in care. LPA Calderon interviewed R1-R10. R1 states that staff refused to call 911 for R1 and staff called R1 names. R1 states that staff have neglected R1 care. 9 out of 10 resident states that staff do not neglect their care and they have no issues with staff. W1 states that W1 was aware of R1 calling 911 and staff refused to call 911. W1 states that unknown staff called R1 words that were hurtful. On 05/15/2024 LPA Calderon reviewed the following: Reviewed the Physician report (date 03/21/2024), R1 has health issues. Reviewed incident report (date 05/10/2024) R1 was having chest pain and staff called 911. Regarding Allegation #2 : Staff withheld residents’ medication. This complaint alleged that staff withheld medication from R1. A1 states that at no time would any staff member refuse or withhold R1 or any medication from a resident in care. A1 states that accurate records are kept for any resident that takes medications. 3 out of 3 staff state that no staff would refuse or withhold any medication for R1 or any resident in care. 3 out of 3 staff state that accurate records are kept for each resident that takes medications. LPA Calderon interviewed R1-R10. R1states that staff refused to give medication to R1. 9 out of 10 residents state that no staff member has refused or withhold any medication. LPA interviewed W1 who states that facility staff refused to give medication to R1. LPA Calderon reviewed the MAR for (April, May 2024) for R1. LPA Could not find any errors for R1 MAR. Regarding Allegation #3 : Staff did not respond to resident’s call assistance button in a timely manner. This complaint alleged that staff did not respond to R1 call button in a timely manner. A1 states that on average it takes 5 to 10 minutes for staff to answer resident call button. A1 states that every time a resident presses the call button the front desk answers and staff are sent to the resident’s room. 3 out of 3 staff state that it takes 5 to 10 minutes for staff to respond to a call button push. R1 states that R1 has pressed the call button and no staff responds. 9 out of 10 residents state that it takes 5 minutes for staff to respond to a call button. W1 states that W1 has noted no staff has responded to R1 call button push. LPA Calderon toured the facility and LPA pushed the call button for rooms 163, 273, 274 and 275. On average it took 5 minutes for staff to show up to the resident room and every time the call button was pushed the front desk answered. LPA Calderon noted 3 staff answered the call. Based on interviews, observations and supporting documentation, the preponderance of evidence standard has NOT been met; therefore, the allegation of “staff neglected resident” “staff withheld residents’ medication” “staff did not respond to resident’s call assistance button in a timely manner” is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of the Complaint Report were provided to the Administrator Ginger Enriquez (A1).