Complaint·October 17, 2023

For the category of Physical/Health it is noted that “because of Parkinson’s affecting him, his physical mobility has been affected” it was noted that Physical Therapist (PT) and Occupational Therapist (OT) would be responsible for this need. Based on interviews with Administrator as of the date 12/02/2022 no PT/OT has seen R1. Review of Resident 2 (R2) Appraisal/Needs and Services Plan dated 01/14/2023 indicating R2 is diagnosed with depression, psychosis, and dementia. In the category of Emotional Needs, it is noted “he is able to adjust emotionally and no issues”. For the objective/plan for the emotional need the objective is “to continue to monitor”, per review there is no actionable item to monitor. Based on LPA’s observations of R2, R2 remains in his room and does not socialize with house mates. Review of Resident 3 (R3) Appraisal/Need and Services Plan dated 04/14/2023 indicating R3 is diagnosed with dementia, hypertension, and glaucoma. It is also noted that R3 needs assistance with all activities of daily living. In the category for Functioning Skills, it is noted "due to generalized weakness overall body function is affected", for the objective/plan "encourage to mobilize extremities, perform exercises on both hands and feet" the care team is responsible for this action. Based on interviews with witnesses, PT has been utilized but care giving staff has not. Review of Resident 4 (R4) Appraisal/Need and Services Plan dated 06/02/2023 indicating R4 is diagnosed with wernickie's encephalopathy and dementia. Per review of all five category's did not list any services for a diagnosis of dementia. Regarding the facility being malodorous LPA Mendivil experienced a strong smell of body odor and urine when entering the room of R1 and R3 on multiple occasions, no explanation provided from staff. Therefore, based on evidence through records reviewed and interviews the allegations that Staff is not meeting resident's needs and facility is malodorous are determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. Civil penalty is assessed due to repeat violation within 12 months. An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative.