complaint·July 16, 2024

(5) of (5) Residents interviewed could not corroborate the allegation. Residents interviewed stated to have been receiving the proper services to care for their needs. File review shows that the facility has been updating and creating needs and services plans for residents every 6 months or when needed. Interviews with staff all explained that needs and services plans are also updated when there are any change in conditions to residents and it will be detailed on the same form. Based on interviews conducted, files reviewed, and observations there was not enough supportive evidence to concur with the reported allegation; 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. In regards to the allegation "Facility did not update physicians reports for residents with a change in condition" it alleged that resident physicians reports are outdated and not updated as needed. (5) of (5) Staff interviewed denied the allegation. (5) of (5) Residents interviewed could not corroborate the allegation. LPA was not provided with specific information as to which residents had changes in condition not updated. Per Title 22 Regulation, Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. Regulations add that the licensee shall obtain an updated medical assessment when required by the Department. Review of the residents files shows that the facility acquired physician reports (medical assessments) for the residents prior to admitting them to the facility. There are no documents on file of the department requiring the facility to update physicians reports. Per Title 22 the facility must also ensure that a resident with dementia shall have an annual medical assessment done at least annually, which shall include a reassessment of the resident’s dementia care needs. File review shows medical assessments done for residents with dementia within that timeline. Based on interviews conducted, files reviewed, and observations there was not enough supportive evidence to concur with the reported allegation; 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. Exit interview conducted and a copy of this report was provided.