Complaint·May 15, 2025

Regarding the Allegation: Staff neglect resulted in a resident to be hospitalized. It is being alleged that staff did not ensure resident received dialysis treatment causing resident to have a heart attack. Record reviews indicate the following: The facility admission agreement indicates that R1 was admitted to the facility on 08/23/2024. West Hollywood Healthcare and Wellness Center medical records indicates that R1 was sent to the hospital on 08/26/2024 due to unrelated medical conditions. On 08/27/2024 R1 had a fall while at the hospital, hospital staff checked R1 and R1’s pulse was low, R1 suffered a heart attack while at the hospital. Hospital records indicate the resident had numerous preexisting medical conditions affecting R1’s health. Interviews revealed the following: 2 out of 2 staff deny the allegation. S1 indicates on 08/24/2024 R1 was sick and refused to be taken to the hospital. R1 denied the allegation, R1 indicates that R1 has missed dialysis in the past and it has not led to heart attacks. R1’s doctor W1 reported that R1 had numerous medical issues and W1 indicated that R1 missing one day of dialysis did not result in R1 having a heart attack. Based on interviews and supporting documentation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, the allegation of “staff neglect resulted in a resident to be hospitalized” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Bella Naygas S1.