complaint·March 21, 2023

The current Administrator Billy Tames stated that the facility does provide transportation, and that it is normally for offices located in Murrieta, or within a 10-mile radius for medical and dental appointments, and that anything outside the ten miles is up to the discretion of the General Manager. The transportation days for Doctor’s and dental appointments are on (Mondays, Tuesdays, Thursdays) and shopping on (Wednesdays and Fridays). The transportation schedule reviewed has a note that states that “any other transportation on these days will be a $10.00 charge each way. A review of R1s signed monthly fee states that scheduled transportation is to be provided. It is not specified that extra fees will incur or that the office should be within a 10-mile radius. In addition, the facility does not have the transportation program in writing stating that the location to where transportation is needed should be in Murrieta and within a 10-mile radius, and that anything outside is up to the discretion of the General Manager. Therefore, the allegation of facility did not provide resident transportation to medical appointments is SUBSTANTIATED. An exit interview was conducted and a copy of this report, 9099D, LIC 811 (confidential names list) and appeal rights were provided to Karen Lovett, Business Office Manager. R1 stated that lost their footing and as they were falling, they pulled on the tubing in their chest out. Additional documentation reviewed revealed that R1 was admitted to the facility and noted in R1s service agreement that R1 presents a moderate risk for falls due to their medications, ambulatory status and history of dizziness, and that a plan to reduce the falls should be identified. In addition, on October 1, 2021, the facility’s LVN made a request for R1 to get started on physical therapy due to the number of falls that they experienced since moving into the facility. It further states that two of the four falls resulted R1 having to go to the hospital and that there is a concern for R1’s safety. Based on observation and record review the allegation is UNSUBSTANTIATED. Responsible party was not provided with details of resident’s move to memory care. Resident #1 (R1) was admitted to the facility on July 12, 2021 on the assisted living side of the community. Documentation reviewed revealed that R1’s responsible party did inquire prior to R1 being moving into the facility what moving from assisted living to memory care involved such as fees associated with the additional care that was to be provided. A review of documentation revealed that R1s responsible party was not notified that R1 required an increase in care until October 28, 2021. It was noted that a reassessment of R1s needs was completed and that R1 required additional care going from AL-level 1 to AL level 2. It was also noted that the facility back dated the date the additional services were provided, which was on October 8, 2021. However, there was no mention of it until October 28, 2021 to R1’s responsible party. Even though the facility did not inform R1’s responsible party at the time that they began providing R1 with additional services, R1 did not move into the memory care unit until November 11, 2021. In addition, documentation reviewed noted for R1s responsible party to be on agreement with R1s move to the memory care unit, Additionally, R1 was diagnosed with having dementia on November 13, 2021 when they were sent out to the emergency room after sustaining a fall.and that there was a previous discussion of fees associated with moving into memory care. Therefore, the allegation is UNSUBSTANTIATED. Resident was not given proper notice of price increases. Regarding the allegation resident was not given proper notice of price increases. LPA reviewed a letter addressed to R1 dated November 1, 2021 informing R1 that that facility completed a review of operational expenses that includes food, staffing ratios and other provided services, R1s monthly apartment fee will increase to $3,125 per month effective January 1, 2022. R1 was given a sixty (60) day notice about the increase in their rent, as well as their responsible party. The allegation of resident was not given proper notice of price increases is UNSUBSTANTIATED. Facility did not provide resident a proper bed. It was alleged that the facility provided R1 a cot to sleep on after they were discharged from the hospital with a broken humerus. Documentation reviewed dated November 16, 2021 reveals that the Memory Care Director Michelle DeFierra did inform R1’s responsible party that R1s bed would not be able to fit into the new room in the memory care unit. However, there was no further discussion of what would happen next, if R1 would in fact move into the room selected or if a different bed would be provided. It was reported that only a twin-size bed would fit into the room. R1 was provided with a roll away twin size bed the allegation of facility did not provide resident a proper bed is 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 and a copy of this report was provided to Karen Lovett, Business Office Manager.