Complaint·November 20, 2023

Continued from LIC9099... On 9/19/23 LPA conducted confidential interviews with staff that confirmed staff have not been assisting R1 with regular daily living activities due to R1’s aggressive behavior that they make them feel afraid of resident, so they leave them alone. Based on records review, facility provided LPA with a copy of R1’s daily progress notes for the months of August and September 2023, it was revealed that on 8/1/23 resident was assisted with dinner only, 8/3/23 R1 refused three times to take a shower when offered by staff, (8/15/23, 8/25/23 and 9/14/23) R1 was aggressive with staff, then on 9/15/23 R1 had to be transported to the Hospital due to their aggressiveness and difficulty of staff to care for them. LPA was provided with an incident report confirming the situation where responsible parties were notified. LPA obtained outside agencies reports, which confirmed through interviews conducted with staff that R1 has not bathed in two to three weeks due to their behavior. On 10/3/23, co-complainant added to the same allegation reporting that facility staff identified the reason for not providing care to R1, to be their behaviors. Additionally reported a decrease in food intake, which may be due to R1’s refusal to eat or lack of food being provided to R1 by facility. However, based on records review of R1’s hospital records, there was a concern about intake refusal to eat, but weight data taken on 9/15/23 revealed that R1 has gained weight increasing to 151 pounds from last encounter on 5/29/23 reading of 143 pounds. LPA reviewed R1’s physician report and care plan that indicates facility will assist R1 with showers at least twice per week. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given.