complaint·February 17, 2022

Community Care Licensing received a complaint allegation stating Resident did not get blood sugar checks in a timely manner. During the investigation, LPA reviewed R1’s medical file and the blood sugar log of check times and administration of insulin. Physician’s orders states R1 to have blood sugar checked four (4) times a day, 7:30am, 11:30am, 5:00pm and 9:00pm. Additionally, orders indicated special instructions that R1 have blood sugar checked before meals and at bedtime. Interviews with staff reveals, R1’s daughter orders diabetic plates which consist of mostly vegetables and according to staff, most of the time, R1 would refuse to eat. R1 doesn't like to be told what to do or what to eat. R1 would refuse all food when R1 feels his blood sugar it too high. S2 said, "Sometimes he would yell at me when he gets upset. He doesn't like his diabetic plate and won't eat it. R1's daughter thinks the staff are not complying to his doctor's orders, but it is him not the staff. Staff here at the facility try to help him out as much as possible but he makes it very hard to do. He won't follow his own doctor's orders and we can't force him." It was learned that R1 does not have his meals at the same time every day. LPA reviewed blood sugar logs and observed although the facility is not having R1's blood sugar checked at indicated times, blood sugar logs indicates R1's blood sugar is taken four (4) times a day relatively close to indicated times. Based on records reviewed and interviews conducted, the facility is following R1's physician's orders and therefore R1 is getting blood sugar checks in a timely manner. The above allegation is UNFOUNDED, which meaning that the allegation is false, could not have happened, and/or is without a reasonable basis. Per California Code of Regulations, Title 22, No citations were issued. An exit interview was conducted, and a copy of this report was given to Deborah Taylor.