complaint·February 16, 2024

Records reviewed by LPA Ramirez included the Unusual Incident/Injury Report (UIIR) dated 09/15/23 for R1. Per UIIR R1 was observed disoriented to reality. Per UIIR dated 10/30/23 R1 was agitated, disoriented, confused, delusional and anxious. Per California Code of Regulation under Reappraisal 87463 (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. During the investigation LPA reviewed documents including the Physician Report (LIC602A) dated 07/25/22 for R1. Per Physician Report R1 has a diagnosis of Mild Cognitive Impairment and is Able to Manage Own Medications. During the course of the interviews, AD stated that recently the facility began managing R1’s medications. During interviews with R1’s family member it was reported that while moving R1’s belongings that she found opioids and disposed of them. Per R1’s family member she decided to move R1 because she needed a higher level of care. Based on the interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: staff allow resident to continue self-neglect is 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 staff Tan and a copy of this report along with the Appeal Rights were provided at the time of this visit.