complaint·August 31, 2023

The investigation revealed the following. Regarding Allegation(s): Facility is not providing reasonable accommodations to resident in care. - It is alleged that facility staff failed to provide reasonable accommodation to resident in care. R1 was admitted into the facility on 9/29/2019. Per Physician’s Report, R1 may leave the facility unassisted. Per W1, R1 is cognitive and has never required memory care assistance or accommodations. R1 was temporarily relocated to room# 212 on July 25 th , 2023, due to plumbing and other general contracting issues in R1’s original accommodation (room#115). Room# 212 is in the facility Memory Care Unit. Access to the Memory Care Unit is only accessible through key code for both entry and exit. R1 was temporarily accommodated in memory care unit that did not meet R1s individual service needs. Per 87468.2(14) Additional Personal Rights of Residents in Privately Operated Facilities- (14) To reasonable accommodation of their individual needs and preferences in all aspects of life in the facility, except when accommodation would endanger the health or safety of the individual resident or other residents. Based on interviews, observations and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Facility is in disrepair- It is alleged the facility is in disrepair. On or around July 18 th , 2023, room# 115 was experiencing flooding and A/C issues. Water overflowed from kitchen sink on to kitchen counters and carpet area. Maintenance immediately began to soak up water that flooded R1’s carpet. On July 21 st , 2023, plumbers came to troubleshoot cause of plumbing issues. According to Administrator Kevin, additional plumbing work and troubleshooting was required and the facility had an appointment for the plumbers to return on July 27, 2023 at 9am. On July 27, 2023, a second water intrusion occurred and water again began to flow up from the kitchen sink. Per R1, “ me and my caregiver had to get out of the room quick because it began to flood more than the last time.” Per 87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on interviews, observations and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are being cited. Exit interview was conducted with Kevin Taliaferro and a copy of this report, 9099-D and appeals rights was provided.