complaint·March 14, 2024

During today’s visit, LPAs interviewed Facility Administrator, Staff #1 (S-1) through Staff #3 (S-3) and interviewed Resident #2 (R-2) through Resident #4 (R-4). R-1 no longer resides at this facility and whereabouts are unknown. LPAs utilized Focus Interpreting for translation services for interviews conducted with staff and residents. Allegation: Unlawful eviction. Interviewed staff indicated that the Facility Administrator handles eviction notices. Per Facility Administrator interview, R-1 was issued an eviction notice due to R-1 not complying with the general policies of the facility and non-payment. Per Facility Administrator, R-1’s Authorized Representative was notified of R-1’s actions. Interviews do not corroborate this allegation. Allegation: Resident sustained injury while in care. (3) out of (4) interviewed staff indicated R-1 reported that R-1 had bumped their head on the door when R-1 was opening the door on 11/03/2022. Per staff interviews, R-1 was examined, monitored and had R-1 take an x-ray to determine if R-1 had an injury and/or fracture (no injury/fracture noted). Per staff interviews, R-1’s authorized representative was notified. A Special Incident Report (SIR) was also submitted to Community Care Licensing pertaining to this incident. Per resident interviews, residents indicated they have not witnessed any residents sustaining any injuries. Staff and resident interviews and reviewed documentation do not corroborate this allegation. Allegation: Resident not being provided adequate services. Staff interviews revealed that residents are provided with adequate services. (3) out of (4) interviewed staff indicated R-1 was provided with showers twice per week (Tuesdays and Fridays). Per staff interviews, staff keep a bathing log for residents. (2) out of (3) interviewed residents indicated they receive showers twice per week. (1) out of (3) interviewed residents indicated staff provide them with daily showers. Staff and resident interviews and reviewed documentation do not corroborate this allegation. Allegation: Facility staff did not provide record request to authorized representative in a timely manner. Interviewed staff indicated that the Facility Administrator handles requests pertaining to resident records. Per Facility Administrator interview, R-1’s Authorized Representative did not request R-1’s records. Interviews do not corroborate this allegation. Refer to LIC 9099C for the continuation of this report. Allegation: Staff not providing medication as prescribed. Interviewed staff indicated they provide residents with medication as prescribed. Per staff interviews, staff provided R-1 with eye drops twice per day and daily saltwater mouth wash cleaning twice per day. Interviewed residents indicated staff provide them with medication on a daily basis. Staff and resident interviews and reviewed documentation do not corroborate this allegation Although the allegation 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 conducted, a copy of the Appeal Rights and this report was provided to Linda Fan (Facility Administrator).