complaint·December 23, 2024

Continued from LIC 9099 According to the review of information provided by the RP, R1 developed an ulcer, which is not a pressure injury. According to a review of R1's LIC 602, R1 was not diagnosis with a pressure injury and did not have orders for wound care. According to a review of medication orders for R1, R1 does not have an order for the facility to check blood pressure readings. According to an interview with R1, R1 stated R1 never had any kind of wound currently and before living at Ehimas Residential Care. According to an interview with R1, R1 does not want to go to appointment nor does R1 have any appointments. R1 stated R1 wanted to move back to R1's home. R1 stated R1 does not need any type of assistance with activities of daily living (ADL); however, R1 mentioned that staff assist with baths and toileting. According to an interview with Staff 1 (S1) and Staff 2 (S2), the facility provides transportation for the residents if they do not have a ride. S1 stated the facility uses On Demand Mobility to schedule transportation if the facility vehicle is unavailable. LPA Valerio observed an invoice from On Deman Mobility on file at the facility. According to S1, R1 is not agreeable to treatment. R1 has physical therapy exercises and medical appointments but will not participate. It got to a point where the medical professionals have stated they will not come out unless R1 agrees to participate. S1 says they can encourage residents but they cannot force them. According to S2, R1's social worker did not come to see R1 until months after R1 was admitted to the facility. The social worker question specific medications, such as insulin; however, R1 never had an order for it. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was left at the facility.