complaint·September 27, 2023

The Investigation Revealed The Following. Allegation: Staff was not able to provide 911 with resident's medical information. L PA interviewed three (3) staff members all denied the allegation. LPA reviewed facility documents obtained during the investigation LPA was able to review R1’s file and medical information. S1 informed the LPA that S1 was the staff that call 911 for the resident per R1’s request relayed through staff S2. S1 stated that she spoke to dispatch and informed the operator that R1 was Spanish speaking and would require paramedics that spoke Spanish S1 also stated S1 informed paramedics that the resident R1 was on hospice services. LPA was later informed during interview of Reporting party (RP) Spanish speaking services was requested and provided. S2 stated to LPA that S2 informed S1 that R1 told S2 that R1 wanted to go to the hospital because R1 was not feeling well. In addition, S2 stated to LPA that S2 informed hospice services of R1’s request to go to the hospital while S1 called the paramedics. LPA interviewed staff S3, S3 informed the LPA, that S3 observed R1 appear to be having difficulty breathing R3 then informed S2 which initiated the call to 911. LPA interviewed RP, RP stated to LPA that S1 told RP that R1 was experiencing shortness of breath and labored breathing. LPA was informed by RP that RP was informed R1 was on hospice. RP stated that R1 refused transport to hospital and vitals were normal. Based on information gathered, the department did not find sufficient evidence to support allegation Allegation: Staff are not able to communicate with resident. LPA interviewed three (3) staff members all denied the allegation. S1 informed the LPA that S1 was the staff that call 911 for the resident per R1’s request relayed through staff S2 and S3. S1 also stated that support staff of R1 is Spanish speaking including R1’s Social Worker and Hospice Service. LPA interviewed S2,S2 stated to LPA during interview that S2 communicated with R1 daily as she is the med tech and provide R1’s medication and assesses R1’s care. LPA interviewed S3, S3 stated to LPA that S3 is able to communicate with R1, S3 stated that S3 was told by R1 that he was having trouble breathing and that is the reason S3 initiated the emergency response to call 911, S3 stated that he provides care to R1 on a daily basis. LPA was not able to follow up interview R1 as R1 has passed away as of 9/10/2023. Based on information gathered, the department did not find sufficient evidence to support allegation Findings Based on information gathered, LPA Randle did not find sufficient evidence to support allegation(s) Staff was not able to provide 911 with resident's medical information. Staff are not able to communicate with resident. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegation is Unsubstantiated . An exit interview was conducted and a copy of the LIC 9099 was provided to Robin Aquino Administrator