complaint·October 25, 2023

All staff members and residents interviewed that they have never witnessed any resident restrained at the facility. LPA toured the facility during a meal and residents were in the dining room eating lunch. Rick Ledesma stated that they have a restraint free policy. All staff members interviewed stated that they have never witnessed any resident pushed or mistreated by a staff member. Two residents, R1 and R2, interviewed were unable to answer if they have witness a staff push a resident. Two nurses out of five facility nurses were interviewed and they reported that there are no residents are over-medicated and no residents are forced to take their medications. S1 and S2 stated that they have not seen resident been forced to take medications. Both staff members stated that residents have the right to refuse medications. After three attempts to give the medication and residents continue to refuse and they document it on the E-Mars. Residents who are agitated and may have Ativan as a PRN. The care staff will inform the facility Nurse and the nurse may a PRN medication as prescribed by the resident's physician. All medication handling and Medication Technicians are nurses/LVNs. Two residents out of twenty six residents reported that staff are friendly, nice and helpful. R1 stated that he has not witnessed any resident mistreated in any way. R1 stated that staff provided good care. R2 was unable to answer if a staff mistreated a resident. All five staff members interviewed stated each resident has brushed their teeth twice a day. Once in the morning and once in the evening. There are residents whose families would like more than twice and they are brushed three times a day. Staff have daily routines for the morning and evening routine. Residents are showered two to three times a day. There is a facility shower schedule. As for incontinent care, staff stated that all residents who require incontinent care are changed every two hours or as needed. Laundry is done every day for residents. When a resident has laundry, it is completed the same day. S3 stated that all the staff are very good in providing hygiene care to residents. S4 stated that in the morning, residents are dressed, placed in the restroom, their teeth brushed, face washed, hair combed, clothes changed and diaper changed. Residents are showered according to the shower schedule. Then, residents are taken out to the dining room for breakfast afterwards. The caregivers at night have their nightly routine as well. Continued on LIC9099C LPA reviewed shower schedules, janitor services, laundry services, caregiver schedules, medication handling and E-MARs. There are no residents identified for any of the eight allegations mentioned above. There are no corroborating evidence to support any of these allegations. Based on the information gathered during the investigation and review of all documents obtained, the following allegations: Resident are being restrained while in care, Resident were over-medicated while in care, Residents are not being attended to adequately while in care, Resident are pushed while in care, Resident's diapering needs not being met while care, Residents are being forced to take medicine while in care, Resident's hygiene needs not being met while in care, Resident's dental needs not being met while in care are deemed Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted and a copy of this report was provided.