complaint·November 30, 2023

LPA also received three (3) declarations from Jenni Gordon (S1), Noemi Callimquim (S3) and Elizabeth Gibson (S4). The investigation revealed the following: Regarding the allegation: " Facility staff did not seek medical attention in a timely manner. " It has been alleged that Resident one's (R1) medical care departed from the prevailing professional standard of care . According to LPA's record reviews Noemi Calimquim, Med-Tech (S3), was the first to receive the call light provided from roommate Resident #2 (R2). R2 pulled the call light at 6:50PM, due to Resident #1's (R1) fall. Nelia Ramos, Caregiver (S6), responded to the call light at 6:54PM . At 6:55PM S6 then informed S4, who went to observe R1's heart-rate and blood-pressure, measured at 174mg/dl, recorded at 7:00PM. S4 requested S3 to call 911. According to LiveFireRECORDS Incident Report, Long Beach Fire Department (LBFD) received the alarm at 7:03PM and later arrived to the above-mentioned facility at 7:07PM. During that time, LBFD delivered CPR, beginning at 7:08PM. Anaphalaxis (EPI) was provided and a restart of a sustained heart rhythm (ROSC) was obtained at 7:20PM, which was sustained for two (2) minutes, after which R1 rearrested with Pulseless Electrical Activity (PEA). Sodium Bicarbonate and Calcium Chloride was given to R1 per base orders along with additional EPI for total of 4units. CPR was given to patient for 29 minutes, with a final rhythm of Asystole and R1 was then pronounced deceased at 7:37PM. According to LPA's interviews, the staff responded to the call light within four (4) minutes. After Staff's observations and assistance, Emergency Medical Services (LBFD) were contacted approximately eight (8) minutes after S3 received the non-responsive report of R1 from S6, around 7:03PM. LPA interviewed 7 staff (S1-S7). All staff have denied the allegation. LPA interviewed 10 residents (R2-R11). Nine (9) out of 10 residents have disagreed with the allegation and have stated that they feel that their medical needs are being appropriately met and that if emergency services were needed, their needs would be met. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been no deficiencies cited during this visit. An exit interview was held with Administrator, Jenni Gordon (S1) and a copy of this report has been provided.