complaint·August 27, 2024

Staff do not respond to resident's call for assistance in a timely manner. It has been alleged that residents press their call button and it takes (30) minutes for staff to come check on residents. (4) out of (5) resident interviews revealed that staff have taken more than (30) minutes to respond to residents’ pendant calls to assist with their care needs. LPA also obtained and reviewed this facility’s alarm response report (pendant call log for 07/31/24 through 08/01/24 [8:40 A.M..]) and observed approximately (14) pendant alarms which reflect that staff took more than (30) minutes to respond residents’ pendant calls. Resident interviews and alarm response report (pendant log) corroborates this allegation. Staff do not meet resident's dental hygiene and toileting needs. It has been alleged that staff are not providing oral care to residents who need assistance and toileting is not being done timely. (4) out of (5) resident interviews revealed that residents are not receiving oral care and/or assistance with toileting in a timely manner. Interviewed residents revealed that staff (at times) take (30) minutes to (1) hour to attend to residents’ dental hygiene and/or toileting needs. LPA also obtained and reviewed this facility’s alarm response report (pendant call log for 07/31/24 through 08/01/24 [8:40 A.M..]) and observed approximately (14) pendant alarms which reflect that staff took more than (30) minutes to respond residents’ pendant calls. Resident interviews and alarm response report (pendant log) corroborates this allegation. Based on LPAs' observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Deficiency cited on the attached. Exit interview conducted, appeal rights and a copy of this report was provided to Laura Sanchez/S-1 Allegation: Staff are pushing residents that do not require hospice to agree to hospice care. It has been alleged that staff are forcing residents who do not require hospice care to agree to hospice services or they will be evicted. Per staff interviews, staff are not pushing residents that do not require hospice to agree to hospice care. Per staff interviews, residents are not threatened to be evicted if they do not agree to hospice care. Staff interviews revealed that S-1 is the person responsible to work with hospice care agencies. Per S-1, S-1 works with hospice care agencies once the resident’s physician has ordered hospice services. Per S-1, once the residents are referred to hospice services by their physician, S-1 provides the resident with different hospice agency options to select from. Per S-1, there are (7) different hospice agencies that provide hospice care for residents under hospice services at this facility. Resident interviews revealed that staff are not pushing residents into receiving hospice care or are threatened to be evicted if hospice services are not obtained. Interviewed residents indicated that hospice services were ordered by their physicians and not staff from this facility. Interviewed residents also indicated that they were provided with different hospice agency options. Interviewed residents indicated they do not have any concerns pertaining to this matter. Interviews do not corroborate this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted, appeal rights and a copy of this report was provided to Laura Sanchez/S-1.