Complaint·December 18, 2023

LPA Gutierrez reviewed facility progress notes for R1 which indicated between 5/22/22 to 6/222/22 R1 lost 10 lbs. Client Coordination Note Report dated 6/20/22, indicated staff reported R1, "does not eat his pureed diet." Physician was notified and requested a diet change. Physician's Fax Report dated 6/20/22, indicated current diet order was discontinued and Physician ordered "advance diet to mechanical soft diet and regular fluids. Finger foods ok to give as tolerated." LPA reviewed progress notes from May to June 2022, and all notes indicated staff continued to monitor resident. Interviews were conducted with six facility staff and five residents regarding allegation staff failed to provide care and supervision. Reporting Party (RP) stated staff spend time on their phone or socializing and will ignore residents. Six out of six staff denied staff is not providing care and supervision and denied observing staff spending time on their phone or ignoring residents. Four out of five residents interviewed reported no complaints regarding staff and reported they are assisted as needed. One out of five residents interviewed was unable to confirm or deny allegation. Initial 10-day inspection on 7/11/22 was conducted by LPA Sean Haddad. Per LPA Haddad, staff was responsive, tending to residents, and were not observed to be on their phones. During today’s inspection, LPA Gutierrez also did not observe any staff on their phones. Staff were observed engaging with residents in various activities, such as guided exercises, grooming, and setting up for lunch. Based on observations, conflicting information received during interviews conducted, and after a review of R1’s doctor’s orders, weight log, and facility progress notes, LPA is unable to determine if resident was not getting proper nutrition or if staff failed to provide care and supervision. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated. An exit interview was conducted with WD and copy of this report was provided at the end of the inspection.