Complaint·March 5, 2024

Per interviews with Administrator Brevet Dao Resident 1 (R1) arrived at the facility on 12/05/2023 with the diagnosis of Non-ST-Elevatio n Myocardial Infarction and cerebrovascular accident . Per R1's physician report listed the R1 as non-ambulatory but also notes R1 is bed bound and has motor impairment/paralysis. It was alleged that facility staff did not seek medical attention when there was a change of condition, per review of LIC 624 Unusual Incident/Injury Report for the dates 12/08/2023 and 12/10/2023 when there was a change in condition with Resident 1 (R1) 911 was called. In both cases R1 was taken to the hospital and returned to the facility after discharge. It was alleged that staff did not reposition bedridden resident. Per review of R1’s LIC 602 physicians’ report dated 11/15/2023 list R1 as bed bound, but not bedridden. Based on interviews with 2 out of 2 staff resident would request to stay in bed or be moved to their wheelchair. Per interview with Administrator R1 was able to reposition themselves but due to diagnosis had weakness on left side of the body. Interviews with 2 out of 2 staff denied that they did not treat residents with dignity. Per LPA Mendivil's observations residents have access to a call button which plays an auditory sound in the living room/kitchen. Per LPA Mendivil's observations staff responded within 2 minutes. Based on review of R1's medication administration records (MAR) for December 2023, per review medications were given as prescribed and on the days/times noted. Based on interviews with 2 out of 2 staff deny medications are not given as prescribed. It was alleged that staff are unable to meet residents needs due to language barrier, per LPA Mendivil's observations LPA Mendivil has observed the staff to all communicate with resident's in previous visits in English and to be able to communicate effectively. It was alleged staff left resident in bed all day, based on interviews with 2 out of 2 staff the resident would request to either stay in bed or would request to be placed in wheelchair and view outside. Therefore, based on the preponderance of evidence through records reviewed, interviews and observations the allegations staff did not seek medical attention for resident's change in condition, staff did not reposition bedridden resident, staff did not treat resident with dignity, staff did not administer resident's medication as prescribed, staff are unable to meet residents needs due to language barrier and staff left resident in bed all day are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report this report was left at the facility. Per interviews with staff 1 out of 2 staff indicated they were unaware that R1 had a special diet. Based on interview with Administrator Brevet Dao there is no record of what was fed to R1 during December 2023 to prove that a renal diet was followed. Therefore based on preponderance of evidence through interviews the allegation Staff did not provide adequate food service to resident is 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. An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative.