Complaint·December 19, 2024

Allegation: Staff did not safeguard resident's personal belongings. It was reported that R-1 is missing all of their clothing. LPA Shirley conducted a search of residents clothing and did not find the 4 articles of clothing that resident states was missing. LPA observed the clothing in R-1’s closet and counted the overcoats mentioned in complaint and other articles of clothing and women’s outfits, which LPA described to the resident. LPA Shirley toured the facility and went to 7 different storage rooms and did not find the clothing. LPA Shirley interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA asked, does staff safeguard residents personal belongings. Of those interviewed, 5 out of 5 staff answered yes. LPA interviewed Resident-1 thru Resident-5 (R-1 thru R-5). LPA asked residents, does staff safeguard all of your belongings. Of those interviewed, 4 out of 5 answered yes, 1 answered no. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not safeguard resident’s personal belongings,” therefore the allegation is unsubstantiated. Allegation: Staff did not administer resident's medications as prescribed. It was reported that R-1 has not been administered their medications. LPA requested and reviewed R-1’s Medication administration Record (MAR) and observed that all prescribed medications were administered as prescribed since day of admission. R-1 stated that staff gives her the medications in a little plastic bag. Staff watches her take the Con'd on 9099-C medication and then leaves. R-1 states that staff does not tell her what medication she is taking. LPA Shirley interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA asked, does staff administer resident’s medications as prescribed. Of those interviewed, 4 out of 5 staff answered yes and 1 answered I don’t know. LPA interviewed Resident-1 thru Resident-5 (R-1 thru R-5). LPA asked residents, do you receive your medications as prescribed. Of those interviewed, 5 out of 5 answered yes. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not administer resident’s medication as prescribed,” therefore the allegation is unsubstantiated. Allegation: Staff force resident to bed. It was reported that R-1 was made to go to bed when they were not ready to go to sleep. R-1 stated that staff pushed her shoulders down towards the bed and she kept telling them no. During interviews, S-5 stated there is no bedtime, but the residents are observed by caregivers as it gets closer to 10 to see if they are sleeping or looking tired and are encouraged to return to their rooms so as to not be roaming around the facility. LPA Shirley interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA asked, if there is an assigned bedtime for residents. Of those interviewed, 3 out of 5 staff answered no, 1 Con'd on 9099-C stated 7pm and 1 answered I don’t know. LPA interviewed Resident-1 thru Resident-5 (R-1 thru R-5). LPA asked residents, are you forced to go to bed when you are not ready. Of those interviewed, 4 out of 5 answered no, 1 stated, somedays they just push my shoulders and say go to bed. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff force residents to bed,” therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of the LIC 9099 report was provided to the Assistant Manager, Grace Hwang.