Complaint·February 15, 2023

It was further not known if the resident was receiving Hospice or home health services. It was stated that R1 has all the medical supplies in their cabinet but none of the staff were alleged to be providing the proper care for pressure injury preventative care. Through observation, interview, and document review, LPA discovered that R1 had medical supplies in their cabinet to treat a recurring coccyx wound. At the time of the allegation made, R1 was not receiving treatment for a wound; however, R1 had been regularly seen for treatment for the recurring wound. Through document review, on 9/7/2022, Vitas Hospice began treating R1 for a coccyx wound once per week. Vitas Hospice began wound care and gave training to staff to care for the wound. Interviews with staff and outside witness revealed that R1 was being repositioned in-between treatments. It was alleged that the residents are not being showered and some of the residents smelled bad. LPA conducted interviews with staff, and residents, and through observation determined that residents are being showered by staff. It was alleged that the air conditioning system is in disrepair. Through interview with residents, staff, and observation, LPA found that the facility is cooled by a swamp cooler system that produces air via three large cooling systems. At the time of the allegation, one system had gone down; however, the facility was actively working on maintaining the air temperature through the remaining two cooling systems that were operational. Through interviews, LPA determined that there was not a complaint regarding the comfort of residents due to the one cooler undergoing maintenance. Thus, these allegations were UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where a copy of this report was discussed with and provided along with a copy of the LIC811 (confidential names list). Through LPA observation during a tour of the facility, and through interviews conducted, LPA found that liquid soap and paper towels are currently not being provided to memory care residents. Thus, this allegation was SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. A Type B citation was issued per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted where a copy of this report was discussed with along with a copy of the LIC9099-D, and Appeal Rights.