complaint·February 13, 2025

Per W1 Scan’s Nurse Practitioner (NP) was not working on February 11, 2024, and stated that the NP completed the Physician report for R1 on February 12, 2024. Regarding the allegation that Resident was unlawfully retained in Memory Care, the following was revealed: During the investigation LPA reviewed documents including the Personal Service Plan dated February 12, 2024, for R1. Per Personal Service Plan under comments, it states Resident with Scan as of move in. During the course of the complaint LPA reviewed documents including the Senior Doc New Provider orders dated February 10, 2024, for R1. Per New Provider orders it states patient may remain in the community in a locked/secured area/unit. LPA reviewed the Scan monthly visit dated February 12, 2024, for R1. Per Scan notes patient was seen and evaluated inside the Memory Care. During the course of the investigation LPA reviewed the Brookdale Garden Grove Progress Notes dated February 10, 2024, for R1. Per Progress notes is states R1 moved from Assisted Living to Memory Care same day and LIC602 to be completed today by provider to reflect change. Per Physician report dated February 12, 2024, R1 does not have a diagnosis of Dementia and is able to leave the facility unassisted. Based on the interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegations: facility staff falsified the resident's Physician Report and Resident was unlawfully retained in Memory Care are deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted with AD Miles and a copy of this report along with the Appeal Rights were provided at the time of this visit.