Complaint·November 16, 2021

It was discovered that R1’s hearing aid, fitted sheets, and clothing were missing. The facility was unable to locate the missing items. It was discovered that the facility offered to replace the missing items. According to Executive Director, Business Office Coordinator (BOC) had contacted Corporate to see if a check was delivered to Complainant. At the time of opening the complaint there had been no reimbursement for the items. Since the complaint has been opened, facility has provided reimbursement for $54.80 on 10/14/2021. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of regulations, Title 22, Division 6, Chapter 8 are being cited on the attached LIC9099D. Appeal rights provided to the facility. An exit interview was conducted with Sherrie Kuar, Executive Director, and a copy of this report will be provided to the facility via email. According to Complainant, concerns about record keeping regarding R1’s stool consistency and constant phone calls because of what Complainant believe to be incomplete record keeping or dishonesty by Med-tech (MT). Complainant stated facility staff (S1) is telling Complainant something believable and Executive Director tells Complainant something completely different as she instructed staff to do. R1’s Progress Notes revealed that R1 had no bowel movement (BM) on 5/18/2021, 5/19/2021, and 5/20/2021. On 5/21/2021, S1 called R1’s POA and left a voicemail stating R1 has not had a BM for three days. MT 1 called and notified hospice. Hospice stated since R1 does not have any discomfort or pain, the facility will wait until R1’s POA calls back and decides what actions to take. On 5/22/2021, R1’s POA spoke to MT 1 and was notified of R1’s BM and contacted hospice again. According to Executive Director, R1’s medication was causing R1’s no BM. Once R1’s POA and hospice was notified, the facility requested to discontinue the medication. On 5/22/2021 in the evening, R1 was reported to have XL BM. This agency has investigated the above listed allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSTANTIATED . An exit interview was conducted with Sherrie Kuar, Executive Director, and a copy of this report will be provided to the facility via email.