complaint·May 16, 2023

The investigation revealed the following; Allegation: Facility is retaining residents who require a higher level of care. Based on interviews conducted and record reviews, the statements obtained along with the information collected did not corroborate with the allegation. According to the Assistant administrator, the majority of residents who were admitted to Pasadena Villa Senior Living around the time of licensure were referrals from Department of Health Services (DHS). A proper assessment was conducted by the Administrator on R1 and R2. According to the Physician's Report for R1, R1 was listed as unable to bathe self, able to dress/groom self w/minimum assistance, able to feed self, unable to care for own toileting needs and unable to store or administer own medications. In the Preplacement Appraisal for R1 it states; R1 is non-ambulatory, uses a wheelchair, is alert and oriented and R1 likes to stay in room and watch TV. R1 was not listed as someone who needed higher level of care. According to the Physician's Report for R2, R2 was listed as independent and able to leave facility unassisted. R2 was able to store own medications but needed minimal assistance. According to the notes from DHS, R2 did not require one-on-one supervision. In the Preplacement Appraisal for R2, it states; R2 is visually impaired and uses cane. R2 was described as someone who likes to hear the TV and radio. R2 was not listed as someone who needed higher level of care. Based on the information gathered, there is insufficient evidence to support this allegation to be true. 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. An exit interview was conducted and a copy of this report was provided to the Assistant Administrator.