complaint·August 13, 2024

Allegation: Staff did not ensure resident’s showering needs were met The allegation alleges a resident, who is a fall risk, did not receive assistance with a shower for 1 ½ months despite asking for assistance. During record review of the shower schedule for residents who require assistance, LPA observed that residents are scheduled with an assisted shower 1 to 3 times a week. LPA reviewed four (4) Residents Physician’s Report, Needs and Service Plan, and Appraisal to see they type of assistance Residents require. During record review of R1’s Admission Agreement, LPA observed under Basic Services, R1 initialed number 9 indicating the acceptance of services, which include assistance with bathing. Additionally, LPA reviewed R1’s Service Plan that indicates R1 will be assisted once a week with showering and bathing. LPA reviewed the facility Shower Schedule which indicates R1 is to be assisted with a shower once a week. During review of the facility Staff Notes, LPA did not see any notes regarding R1 receiving assistance with a shower. During interviews with Staff S1-S5, were asked if residents who require assistance with a shower receive assistance, five (5) out of five (5) stated residents who require assistance with a shower receive assistance. Additionally, five (5) out of five (5) stated if a resident who requires assistance with a shower requests a shower on a non-scheduled day the staff will accommodate the resident as soon as they are available, unless it is related to incontinence. During interviews with Residents R1-R7, were asked if they receive assistance with a shower, four (4) out of seven (7) stated they receive assistance with showers when scheduled and when need or requested. Additionally, Residents R1-R7, were asked if there was a time, they not receive assistance with a shower, three (3) out of seven (7) stated they require assistance and was not provided with it. Additionally, two (2) out of the seven (7) stated they have either gotten into the shower without assistance or have taken a shower without assistance while being a fall risk. During the course of the investigation, LPA was able to find evidence to support the allegation. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulation, (Tittle 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D. An exit interview was conducted with Administrator, Narine Mertkhanuan, and a copy of this report was provided.