Complaint·October 24, 2024

Interviews with 9 residents revealed that all needed assistance with incontinence care and showering. 7 out 9 residents reported being left in soiled incontinence briefs for 3 to 7 hours, stating that staff are aware of their condition but often do not provide timely assistance. Furthermore, 7 out 9 residents indicated they do not receive regular showers, with some receiving only two showers a month. The LPA reviewed the facility's AM and PM shower schedule, which indicated that residents are scheduled for full showers two to three times a week. Additionally, a review of 9 resident files confirmed that the facility provides support with hygiene needs, including toileting, incontinence care, grooming, and showering. LPA Pascua conducted three unannounced visits on July 16, 2024; September 19, 2024; and October 18, 2024. During these visits, a strong odor of urine was consistently noted in hallways 2 and 3. Based on interviews and record review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. An exit interview was conducted, appeals rights, and a copy of this report was provided to the facility at the end of this visit. Interviews with 9 residents revealed that 7 reported no missing personal items. However, 2 residents indicated that they had noticed items missing from their rooms but were uncertain whether they had misplaced them or if someone else had taken them. A review of facility documentation indicated recent reports of missing monetary items, headphones, and other miscellaneous belongings. However, the facility could not determine whether these items were misplaced or stolen by staff. Based on the information gathered, it is unclear if the facility staff stole from residents Allegation: Facility air conditioning is in disrepair It was alleged that the facility air conditioning is in disrepair. During the course of this investigation, this LPA reviewed facility documentation and conducted staff and resident interviews. Interviews revealed that on May 31, 2024, the air conditioning unit in Hallway 3 was functioning intermittently. By June 3, the staff discovered that the AC system had completely failed. On the same day, the facility contacted multiple vendors to assess the situation and confirmed the complete failure of the AC unit. A down payment of $10,000 was made for a new system, and the facility purchased nine portable AC units from Home Depot to install in the bedrooms of Hallway 3. Temperature checks were conducted to ensure compliance with regulatory standards. On June 24, 2024, the new AC unit was delivered and installed by the vendor, with confirmation that it was operational. The final invoice for the AC unit was paid on July 8, 2024. Interviews with nine residents confirmed that the air conditioning had been fixed and that portable units were provided while the main system was down. 3 of the 9 residents noted some discomfort but found it manageable with the portable units, while 6 out of 9 residents reported no issues at all. A review of invoices from Wallace Heating and Air and Home Depot confirmed the purchase and installation dates of the new AC unit. The facility's Temperature Log showed that from July 2024 to the present, the temperatures in resident bedrooms remained between 71-75 degrees. Additionally, temperature readings taken in 10 resident bedrooms indicated temperatures between 70-74 degrees. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.