complaint·May 12, 2023

Interview with staff member (S1) indicated that staffing could be better at the facility and that the facility needs more staffing. Interview with staff member (S2) indicated that PM shift in the Memory Care Unit (MCU) needs more staffing and that they noticed a lot of "call-offs" in the MCU during PM shift. Interview with staff member (S3) indicated that staffing at the facility could be improved and working at the facility can be "hectic." Interview with resident (R1) indicated that they have used their call button pendant and will have to wait for staff’s response anywhere between 10 to 20 minutes, and has waited 40 minutes not receiving staff assistance and needing to contact the front desk for staff to respond. Interview with ED indicated that standard response time to residents' call buttons is between 5 to 10 minutes, with no more than 15 minutes passing before responding to a resident's call button. ED stated that fall sensors should be responded to by staff immediately. LPA reviewed History of SMARTcare (call button response time records) for 12/4/2022 through 12/6/2022, 12/21/2022 through 12/22/2022, and 12/26/2022 through 1/10/2023. At multiple times through the dates listed above, LPA observed call buttons "announced 9 times" with no time indicated when response was given. At multiple times through the dates listed above, LPA observed call buttons have response times exceeding 15 minutes and reaching as long as 42 minutes. LPA observed call button logs for R1 to have multiple response times exceeding 15 minutes and reaching as long as 38 minutes. Based on interviews conducted by the department and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted with ED. A copy of this report and appeal rights were provided. The ED’s signature on these forms acknowledges receipt of these documents.