complaint·May 30, 2023

LPA observed Resident's in Room #1, Room #2, and one resident in Room #3 all had their bed not raised. Resident One (R1), who was in Room #4. R1's bed was elevated at the feet and when questioned, R1 advised that it was due to personal preference. However, Resident Two (R2) in Room #3 was noted to have a cardboard box wedged between the frame at the foot, and the foot of the bed was partially raised. Staff interview revealed that this was done to keep R2 from getting out of bed, or rolling out of bed. LPA also noted that both of R2's bed rails were up extending the length of the bed. The facility was cited per Title 22, and thus, this complaint 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. An exit interview was conducted where a copy of this report was provided along with copies of the LIC9099D, and Appeal Rights.