complaint·April 17, 2023

The staff completes room checks on each resident as often as one (1) to two (2) hours. If a resident needs a diaper change in between room checks, the resident presses their call pendant, and a staff will come change their diaper within five (5) to ten (10) minutes. The staff stated they have not received any complaints from the residents regarding their soiled diapers. For allegation, Staff retained a resident with a prohibited health condition: During document review, LPAs discovered that the facility did retain a resident with a prohibited health condition. The resident’s prohibited health condition was allowed per the resident’s hospice care order. The hospice company was taking care of the prohibited health condition. The facility was not responsible for the care of the prohibited health condition. For allegation, Residents records are inadequate: It was alleged that the resident’s records were not locked properly. During facility tour, LPAs were shown a locked office where the residents records were properly secured. For allegation, Staff are mishandling resident’s medications: It was alleged that the residents were not receiving their medications on time. During interviews with staff, staff denied that residents medications were not given to residents on time. The staff indicated that their computer system notifies them what time each resident needs their medications. The staff checks the system for the correct time to deliver medication prior to dispensing. During interviews with residents, the residents stated that there were no issues with their medication and medication was delivered to them at the appropriate time. During document review, LPAs reviewed residents’ medication records (MARs) and did not find notes detailing late medications. For allegation, Facility is in disrepair: It was alleged that the facility ceiling was leaking water. During interview with staff, staff informed LPAs that there was a leak in the main hallway ceiling, and they contacted a company to come repair the issue. During document review, LPAs discovered that the facility contracted a company to come repair a leak in the main front hallway. The company repaired the leak and installed new dry wall to ensure the leak was repaired. The facility took the necessary steps to ensure the leak was repaired and safe for the residents. Based on the evidence found during the investigation, the five (5) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Gloria Gourlay, along with a copy of the appeal rights.