Complaint·March 6, 2025

Relevant party reported that the facility staff are not providing assistance with activities of daily living (ADLs) for residents, including showering and incontinence care. LPA reviewed records on the premises for residents R1, R2, R3, R4, and R5, including medical assessments, appraisals, and needs and services plans. LPA observed inconsistencies amongst records reviewed. R1's appraisal dated 7/23/2024 indicated that R1 needs assistance with transferring, dressing, bathing, hair care, personal hygiene, incontinence care, and supervision moving about the facility. R1's medical assessment dated 4/17/2024 indicated that R1 does not have bowel or bladder impairment, is confused but able to communicate their own needs, and is able to bathe, dress, groom, feed, and toilet themselves. R2's appraisal dated 8/26/2022 indicates R2 does not use a wheelchair. LPA observed during multiple visits that R2 uses a wheelchair. R2's appraisal indicates R2 does not need assistance with transferring, bathing, hair care, hygiene, moving about the facility, or incontinence. R2's medical assessment dated 6/3/2022 indicates R2 has bladder and bowel impairment and needs assistance with bathing. Interview with staff member (S1) indicated that staff member (S2) was not providing proper assistance with R5 regarding showers. R5's medical assessment dated 9/29/2022 indicates that R5 needs assistance with bathing and dressing. Interview with S2 indicated that they were unaware that R1 was incontinent or needed incontinence care. Interview with staff member (S3) indicated that no residents at the facility are incontinent. S3 stated that they don't help R5 with showers and they don't assist with resident showers "at all." S3 stated that they were told to remind residents to take a shower. LPA determines that, with the inconsistencies amongst residents records and staff statements, residents are not receiving sufficient assistance with ADLs. Based on LPA's observations, interviews conducted, 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 Administrator. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.