complaint·March 16, 2023

CONTINUED FROM FORM LIC9099 Submitted records were reviewed and additional interviews conducted. During the March 17, 2023 follow up visit, LPA conducted a follow-up interview with administrator. Regarding the allegation that Facility staff failed to meet resident's needs , the following has been concluded: Resident R1 was admitted to the facility on December 10, 2022. Initially upon admission, the resident's health condition was noted to be good and she would attend meals in the dining room. However, based on interviews conducted the resident's condition was stated to decline rapidly. Shift notes for the month of January however only make one mention of the resident and do not include her transfer to the hospital on January 15, 2023. Upon admission at St. Jude Emergency Department, resident was observed to be severely dehydrated and had sustained Acute Kidney Injury caused by the prolonged diarrhea suffered. Based on interviews conducted, the resident's family had requested to be notified of any continued or worsening condition. Interviews also determined that facility procedure is for caregiving staff to notify Med Tech or Med Tech supervisor for them to get in touch with the family, which does not appear to have been conducted until January 15, 2023. Facility did not take the initiative to get resident assessed by paramedics until requested by family to do so on that day Therefore, based on interviews conducted and a review of records provided the allegation that Facility staff failed to meet resident's needs is deemed to be Substantiated, meaning that the preponderance of evidence standard has been met. One deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided and left at facility.