Health check·November 17, 2022

Licensing Program Analyst (LPA) Jamie Ivey Canady arrived to the facility unannounced and met with Melina Dearing and explained the reason for the visit. LPA received notification from R1 family member regarding possible lack of care in relation to R1 Continuous Positive Airway Pressure (CPAP) use. LPA requested and received resident file for R1. LPA verified R1 CPAP information is the same as received from facility via email on 11/09/2022. LPA requested and received facility Plan Of Operation, facility chart notes regarding phone conversations with R1 physician's office about R1 refusal to use CPAP machine. LPA requested and received correspondence documentation between facility and R1 family member. LPA reviewed Plan Of Operation medication refusal policy. In accordance with facility Plan Of Operation in regard to medication refusal, facility is in compliance with services facility provides. According to facility LVN facility has reappraised R1, LVN states R1 is currently at highest level of care in accordance with facility Plan of Operation and services provided. LVN stated R1 is currently on hopice for a different diagnosis that does not pertain to CPAP use and provided LPA with a copy of R1 hospice documentation. R1 was placed on hospice care by physician on 11/08/2022. Facility is licensed for 3 hospice residents and currently have 2. LPA attempted to interview R1 and R1 is currently sleeping. According to staff interviews and medical documentation, facility is in compliance with Title 22 regulations regarding care and services provided to R1. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was given to Administrator Caleb Summerhays.