complaint·February 1, 2024

The investigation revealed the following: Allegations: "Facility refused to allow medical professional to assess resident in care" and "Facility failed to meet resident's medical needs". It is alleged that on 2/17/23 Staff #2 (S2) refused to allow a home health nurse assess R1 for concerns of bruises, wounds and bed sores. LPA interviewed S2 (with translation assistance from LPA Wong) to ask if they recall this particular incident, S2 stated that they do not recall as this happened a long time ago and also does not remember resident, however, S2 stated that procedures during that time were more strict as the facility was still following Covid19 mandates. S2 further stated that they would only deny a home heath nurse access IF the resident is not on home health or do not have proper clearance to assess resident. S2 stated that during the date that the alleged incident took place, all visitors were required to have scheduled visits and if there was no scheduled visit staff was to schedule one for them. S2 also stated that staff assist residents with bathing needs and at any time redness, bruising, rashes or sores are observed they report it immediately. LPA Herrera reviewed R1's files and there was no documentation within file or on R1's Physician's Report indicating that resident was receiving Home Health Services, R1's family removed resident from facility on 2/20/23. During interview with S1, staff indicated that resident was not on home health or hospice and that staff are instructed to only allow visitors to access residents if authorization has been granted, from either resident, responsible party or medical professional. S1 stated they recall on 2/17/23 family and home health nurse visiting during dinner time to assess resident, due to staff being busy assisting residents with dinner it was asked to return at a later date, authorities were later called and access was granted to visit resident, both family and nurse then assessed resident, and there were no signs of bruising, wounds or bed sores found. S1 also stated that staff is trained to look for these signs while assisting residents with baths and there were no observations made by staff on bruising, wounds or beds sores for R1. LPA reviewed police report and SIR for incident dated 2/17/23 and report stated that "R1 did not appear to be suffering in any manner and appeared to be clean and well groomed". Interview with S3 (conducted by LPA Calderon during initial visit), staff denied the above allegations and stated that appointments are needed, access to residents seeking medical attention is never denied and staff provide residents with their medical needs. Interviews with 4 Residents, 4 out of 4 residents denied the above allegations and stated that they have never had facility staff refuse their medical professional to visit nor does facility staff refuse to allow residents to visit with their doctors outside of the facility and they are provided with all medical needs. (Continued on 9099-C) Based on statements and interviews conducted with staff and residents, and review of R1's file/medical records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview held, and a copy of this report will be emailed to Administrator Linda Fan.