complaint·August 21, 2025

the original one they had at the former facility. R1 moved on August 6, 2025. It took two trips to move the resident. The first trip had R1 in a gurney. The second trip was their bed, Hoyer lift, wheelchairs and personal belongings. R1 assumed the bed was swapped during moving day. Per review of resident records, every resident at the facility has their own hospital bed that has been ordered from their physician. LPA verified all residents had doctor’s orders for the beds. R1 received a serial number from the medical equipment company SG Home Care for the bed – Code #15033-833-383-180328. LPA verified all the beds at the facility, and it does not match R1’s serial number. LPA toured the entire facility and checked the garage and storage shed and discovered there are no extra hospital beds, all hospital beds in the facility have a resident that occupies it, a total of four beds for the four residents currently at the facility. The extra empty beds in the facility are regular beds, not hospital beds that are used for display for vacant beds. They currently have two vacancies here. Five out of five staff interviewed similarly stated that residents have been staying in their own hospital beds and have never changed beds at all. It is difficult and heavy to disassemble the beds, let alone in a short time span when a resident was transported not far from the facility. One care staff interviewed stated that families of new residents can use the regular beds or they can order a special hospital bed. The facility does not provide hospital beds for the residents. LPA spoke to care staff regarding safeguarding residents’ personal belongings and property. All the staff similarly answered that there have never been any issues with theft or missing items. They do their best to ensure that residents’ personal belongings are safeguarded. LPA reviewed resident records and noticed the Client/Resident Personal Property and Valuables forms were blank for residents and did not list any items. LPA interviewed Licensee Ramil Delos Santos, and he explained for every resident that moves in, he tells the family to not bring anything of value to the facility. LE Delos Santos tells them not to bring jewelry or expensive stuff to avoid any issues with expensive personal property or items. LPA spoke to the transportation coordinator from AMA Transport who transported R1 and their personal property and belongings on August 6, 2025. The coordinator stated that 100 percent that is the same bed the resident had. It was never touched, moved or swapped. They had to make two trips because the transport van was not big enough for everything, and they did not want R1 waiting in the gurney for a long time. They tried to move R1’s stuff as quickly as possible. The coordinator said the distance from the facility to R1’s new facility is not far. Once they dropped off R1 at the new facility, they came back to pick up the rest of the items. It was not easy, the coordinator said they had to dissemble the bed. One of the caregivers (Report continued on LIC9099-C) helped the movers dissembled it. R1 shares the room so there is not ample room to disassemble a heavy hospital bed and swap it within an hour with a different bed due to the lack of time and space. Three caregivers interviewed witnessed a caregiver staff from the facility help the transport movers disassembled R1’s original bed. All care staff interviewed that were there on moving day confirmed that R1’s original bed was disassembled and transported with all of R1’s belongings that day. Nothing was left on moving day. The facility has in writing and a record that R1 signed a statement stating they received all their items during the move, dated and signed on August 6, 2025. Therefore, based on LPA Tea's observations and interviews conducted and records reviewed the allegation that the licensee did not ensure residents electric bed was safeguarded has been determined to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies cited at this time and an exit interview was conducted with the facility and a copy of the report and confidential names list was provided to the facility.