complaint·January 9, 2025

Allegation: Staff did not address a resident's change in medical condition It was reported that staff is not addressing a residents change in medical condition. LPA Shirley spoke with S-1 and was told that R-1’s care services were updated 9/22/24. Resident was being assisted with showers and dressing. LPA Shirley reviewed progress notes for R-1 which are updated periodically and as needed. LPA Shirley observed that on 11/18/24, hospice came for an evaluation for signs of decline. Hospice stated that they didn’t see any signs of further decline. On 12/13/24, R-1 was discharged from hospice services as resident was doing fine. Per S-1, R-1 has a personal companion to assist her 4 hours per day with day-to-day activities of daily living. Per interview with S-1, resident began refusing to eat, showed signs of becoming weaker and requested to stay in bed. On 12/21/24, per progress notes resident was feeling pain in her leg. Per S-1, R-1 had several falls going to and from the bathroom and transferring in and out of the bed. Per S-1, additional services were placed on the care services for R-1. Per interview with S-1 hospice nurse came for evaluation on 1/4/25 and R-1 was placed back on Kaiser hospice. LPA Shirley observed several communications between staff and a family member requesting to meet. On 1/9/25, during interview S-1 had to leave conference room as R-1’s family member requested a meeting regarding the resident’s care. LPA interviewed staff-1 thru staff-8 (S-1 thru S-8). LPA ask, does staff address a residents change in medical condition? Of those interviewed, 8 out of 8 answered yes. LPA interviewed resident -1 thru resident - 5 (R-1 thru R-5). LPA ask, does staff address residents change in medical condition. Of those interviewed, 4 out of 5 answered yes and 1 answered, sometimes. Based on information gathered, LPA did not find sufficient Con'd on 9099-C evidence to support the allegation “Staff did not address a residents change in medical condition,” therefore this allegation is unsubstantiated. There were no deficiencies observed during this visit. LPA Shirley conducted an exit interview, and a copy of this report was signed by the Health and Wellness Director, Tamera Gant.