Complaint·May 6, 2022

Based on the LPA's investigation, the investigation revealed the following for Allegation #1 – Resident has loss an excessive amount of weight. Interviews with Administrator and S#2, the reason R1 has lost weight because R1 was started on a soft diet and R1 refuses to eat. Sometimes R1 not hungry and they cannot force feed R1. Some days R1 eats all the food they provided R1 and the next day, R1 might not want anything to eat. Interviews with R1, said, “If she hungry she eats, but she not hungry all the time, don’t feel like eating, not that much.” Interviews with R2, said, “I get well balanced meals, 3 times a day. Vegetables are a little over cooked, but I eat them.” LPA reviewed R1 physician's R1 is losing weight, but not because of malnutrition, R1's appetite has just diminished. Facility feeding R1 a well-balanced meal with fresh vegetables, protein, fresh fruits, and ensure drinks. The interviews and records reviewed did not concur with above allegation. Allegation #3 - Resident is not awarded privacy. Interviews with Administrator and S#2, R1 cannot hold telephone when she gets calls. The staff needs to assist her with the phone and R1 can’t hardly hear, so R1 has trouble hearing the person that calls R1. They leave the room when they hand her the phone, but again R1 is hard at hearing. R1 is awarded privacy. Interview with R2, R2 does have privacy, R2 shares a room with R1, R2 does see Administrator leave the room when R1 is on the phone, R1 cannot really hear. R2 always get privacy when R2 is on the phone. The interviews conducted do not concur with the above allegation. Allegation #4 - Staff are not meeting resident's hygiene needs. Interviews with Administrator and S#2, R1 get a sponge bath 3x times a week and a shower once a week, in R1 beds. They wrap the bed in plastic and give R1 a shower in the bed. It’s hard for R1 to get up and take shower R1 cannot sit or stand. Interview with R2, R2 takes care of own hygiene needs. R2 shares a room with R1. Interview with R1, said, “don’t get sponge bath or showers.” R2, interrupted, and said, “Yes, you do, they give sponge baths and showers.” LPA reviewed shower/ sponge schedule, sponge bath is given 3x times a week and shower once a week. LPA observed r1 nails, they were clean. The interviews, records reviewed, and observations conducted do not concur with the above allegation. Based on the LPA's investigation, the investigation revealed the following for Allegation #2 - Nurse denied entry into facility to assess resident. Interviews with Administrator on 02/04/22, on 01/20/22, R1’s family member sent a nurse from another facility to evaluate R1, Administrator denied the nurse entry because R1 family member did not give her prior notice and family member had not paid rent for the month. Administrator admitted that she denied entry to the nurse and LPA reviewed a text tread between administrator and R1 family member, where it showed that Administrator is telling family member did deny entry to the nurse. Administrator did not have to deny entry to nurse for assessment. The interviews and records reviewed did concur with the above allegation. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiency and issued a citation. An exit interview was conducted with Edith Nagel, Administrator and a copy of Report and Appeal Rights provided. Allegation #5 - Resident's admissions agreement doesn't have a list of fees. Interview with administrator. The admissions agreement shows that $250 is owed for optional services. LPA reviewed admissions agreement and it does show the additional charge for $250 is for optional services. The administrator gave R1 family member the correct payment owed for monthly rent. 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 An exit interview was conducted with Edith Nagel, Administrator, and a copy of report was provided.