Complaint·October 31, 2023

LPA Lee interviewed 10 out of 10 residents and it was learned that 6 out of 10 residents had no concerns with the facility trash bin lids are not tightly secured. Furthermore, 6 out of 10 residents have not witnessed other residents digging through the facility garbage. During complaint investigation visit on 09/07/2023 and 10/09/2023 LPA Lee did observe one garbage in the sun room, one garbage in the activity room, one garbage in the front entry of the facility, one garbage in the dining room and three big garbage in the hallway. All the garbage’s observed on both days throughout the facility had fitted tight lids on them. Furthermore, LPA Lee did not observe any residents digging through the facility trash bins. Based on information provided through interviews, observations and records reviewed, the allegation is deemed UNSUBSTANTIATED although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation staff did not ensure that facility trash bin lids are tightly secured. Allegation: Staff financially abused residents in care. It was alleged that staff financially abused residents in care. This investigation consisted of records review and interviews with staff and residents. LPA Lee interviewed 10 out of 10 residents and it was learned 10 out of 10 residents have no concern and have not experienced or witness staff financially abused resident in care. Throughout the investigation it was learned that the resident will pay rent by writing a check and then giving the check to the front desk. The front desk then gives the resident a receipt and makes a copy of the resident check and file for record. The front desk then drops the checks into the office locked box. Regional Director Robert Godfrey then picks up the check from the locked box in the office. Furthermore, 5 out of 5 facility staff denies staff are financially abusing residents in care. Based on information provided through interviews and records reviewed, the allegation is deemed UNSUBSTANTIATED although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation staff financially abused resident in care. Allegation: Unqualified staff are administering medications to residents. It was alleged that unqualified staff are administering medications to residents. This investigation consisted of records review and interviews with staff and residents. LPA Lee interviewed 10 out of 10 residents and it was learned 6 out of 10 residents are receiving their prescribed medications and have no concerns. LPA Lee also reviewed 3 facility Med-Tech facility files and training records. It was learned that 3 out of 3 Med-Techs files are complete and has the required training documented in their files. Continued LIC 9099-C Based on information provided through interviews and records reviewed, the allegation is deemed UNSUBSTANTIATED although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation staff is not ensuring that resident is dressed in clean clothing. Allegation: Staff is not ensuring that resident is dressed in clean clothing It was alleged that the staff is not ensuring that residents are dressed in clean clothing. This investigation consisted of observations and interviews with staff and residents. LPA Lee interviewed 10 out of 10 residents and it was learned that 10 out of 10 residents had no concerns with the staff not ensuring that resident is dressed in clean clothing. Ten residents that were interviewed were observed to be in clean clothing. Furthermore, during the complaint investigation visit on 09/07/2023, 10/09/2023 and 10/31/2023 LPA Lee did not observe any resident in dirty or unclean clothing. Based on information provided through interviews and records reviewed, the allegation is deemed UNSUBSTANTIATED although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation staff is not ensuring that resident is dressed in clean clothing. An exit interview was conducted with Editha Mccullough and Sara Nichols and a copy of this report was given to Editha Mccullough and Sara Nichols. Per facility, LIC 500 Personnel Report it shows that administrator, Rico Foz is at the facility from Monday to Friday from 9:00 AM to 5:30 PM. On 09/07/2023 LPA Lee was at the facility from 9:44 AM to 3:40 PM and did not see administrator at the facility; therefore, the facility is not adhering to facility LIC 500 Personnel Report. As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met Allegation: Staff did not ensure that residents were eating meals. It was alleged that the staff did not ensure that residents were eating meals. This investigation consisted of recorded reviews and observations and interviews with staff and residents. LPA Lee interviewed 10 out of 10 residents and it was learned that 5 out of 10 residents did not receive their meals delivered to their room when residents don’t come to the dining room. Throughout the investigation, it was learned that residents go to the dining room for all meals. It was also learned that residents can choose to pick up their meals and eat in their room or if resident choose to have meal deliver to their room with no fees. LPA Lee reviewed meal logs and record review revealed that on 09/06/2023 meal logs, 6 breakfast was left black, 3 lunch was left blank and 1 dinner was also left blank. On 09/07/2023, meal logs 5 breakfast was left blank and 2 lunch was left blank. On 10/27/2023 meal logs, 1 breakfast was left blank, 1 lunch was left blank and 66 dinner was left blank. Moreover, on 10/30/2023, meal logs 7 breakfast was left blank, 5 lunch was left blank and 68 dinner was also left blank; therefore, it is unclear if the residents received their meals. As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Editha Mccullough and Sara Nichols and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.