complaint·September 29, 2023

The investigation revealed the following: Allegation: Residents are being sexually abused while in care It is being alleged residents are being sexually abused while in care, there was no specific resident identified, no date nor time indicated and no specific details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation and reported being unaware of any resident being sexually abused. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. LPA conducted file review and there were no incident reports on file for the above allegation. Allegation: Residents are being physically abused while in care It is being alleged residents are being physically abused while in care, there was no specific resident identified, no date nor time indicated and no specific details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation and reported being unaware of any resident being physically abused while in care. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. LPA conducted file review and there were no incident reports on file for the above allegation. Allegation: Staff mismanage residents’ medication On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. 2 of 9 staff interviewed reported being responsible for conducting quality assurance and reported not findings and discrepancies. On 09/29/23 LPA and LPM interviewed R1-9, 8 out of 9 residents denied the allegation. 1 of 9 residents interviewed reported having 1 pill missing and error was fixed. On 09/29/23 LPA conducted review of 9 medication administration records and did not observe any discrepancies. On 04/04/23 LPA Gibbs reviewed staff records and obtained a copy of medication training for staff that administer medications. Allegation: Residents are being financially abused while in care On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation of being financially abused. 4 out of 9 residents interviewed reported family or self being financially responsible for finances, 5 out of 9 residents interviewed reported the facility is responsible for their finances. On 04/04/23 and 09/29/23 LPA reviewed P&I ledgers and receipts and did not observe any discrepancies. Allegation: Residents are being neglected while in care It is being alleged residents are being neglected while in care, there was no specific resident identified, no date nor time indicated and no specific details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. Allegation: Residents’ rights are being violated It is being alleged residents rights are being violated, no specific or additional details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. Allegation: Staff failed to provide adequate food service It is being alleged facility staff is denying residents food. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. S1-9 stated dinning room is always open for residents to obtain food whenever they like. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation and reported receiving meals 3 times a day and snacks 2 times a day. On 04/04/23 LPA Gibbs obtained copies of Menu, Dietician/Nutritionist review of menu report. On 04/04/23 LPA Gibbs conducted tour of facility kitchen and inspected food supply, LPA observed food to be adequately stocked at the time of visit. Allegation: Residents are being confined to their rooms On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. 9 of 9 staff interviewed reported residents were asked to stay in their rooms during Covid per policy. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. 3 of 9 residents interviewed reported residents were asked to stay in their rooms during covid. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with Executive Director Michael Mendoza, and a copy of this report was provided.