complaint·August 26, 2024

All four (4) staff interviewed denied the allegation. Staff interviews revealed the facility AC is not leaking. LPA conducted a physical plant and observed the AC is working and not leaking. Thus, the facility’ AC is not in disrepair. In regard of allegation that the facility does not ensure equipment is properly maintained, it was alleged that the facility Hoyer lifts are outdated and not maintained. LPA interviewed residents, all four (4) out of four (4) residents could not corroborate the allegation. Residents’ interviews revealed that the facility Hoyer lifts were working properly and maintained by either hospice or home health agencies. All four (4) staff interviewed denied the allegation. Staff stated facility Hoyer lifts were operational and maintained. LPA observed staff operating the Hoyer lifts and they were working appropriately. Thus, the facility had maintained equipment and worked properly. In regard of allegation that the facility staff are not trained in the operation of the Hoyer lift, it was alleged that the facility staff are not trained to use the Hoyer lifts. LPA interviewed residents, all four (4) out of four (4) residents could not corroborate the allegation. Residents’ interviews revealed that the facility staff were able to use Hoyer lifts when providing cares. All four (4) staff interviewed denied the allegation. Staff stated facility had provided training to staff on how the operate Hoyer lifts properly. As mentioned above, LPA observed staff operating the Hoyer lifts and they were handling / working the Hoyer lifts appropriately. Thus, the facility staff were able to operate the Hoyer lifts. In regard of allegation that staff does not have appropriate qualifications, it was alleged that the facility’s acting Administrator is not qualified while the administrator was absent. LPA interviewed residents, all four (4) out of four (4) residents could not corroborate the allegation. Residents’ interviews revealed that the facility’s acting administrator was able to provide cares to residents as needed. All four (4) staff interviewed denied the allegation. Staff stated the acting administrator was able to perform the acting administrator’s job descriptions and provided guidance to staff. LPA reviewed staff records and current administrator certificates were observed. Thus, the facility staff have appropriate qualifications. (-continued in LIC9099C-) In regard of allegation that facility forced resident to change hospice companies against resident’s will, it was alleged that a resident was allegedly forced to change hospice companies against resident’s will. LPA interviewed residents, all four (4) out of four (4) residents could not corroborate the allegation. LPA interviewed the claimed resident who was forced to change hospice agencies. Resident’s interviews revealed that resident was aware of the changes and was not forced to change. Changes of hospice cares were due to the resident’s care needs and resident’s own wish. All four (4) staff interviewed denied the allegation. Staff stated staff would not force residents to choose their hospice agencies. Thus, the facility staff did not force residents to change hospice companies. In regard of allegation that staff did not meet resident’s care needs in a timely manner, it was alleged that that staff takes long time to respond to resident’s calls. LPA interviewed residents all four (4) out of four (4) residents could not corroborate the allegation. Resident’s interviews revealed that it usually took 10-15 minutes for staff to respond to resident’s calls and it was acceptable to residents. All four (4) staff interviewed denied the allegation. Staff stated they would response to resident’s calls as soon as they received them. Facility staff may assist with other residents while other residents called for assistance at the same time, staff would assist the new call as soon as they finished assisted other residents. LPA tested the call buttons during the physical plant, it took about 5-10 minutes to have a staff arrived at the rooms to assist residents. Thus, the facility staff did not fail to provide care to residents in a timely manner. Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED. An exit interview was conducted with Laura Sanchez, health service director and findings were discussed. A copy this report was provided at time of visit.