Complaint·October 16, 2024

Interviews with residents R1, R2, R3, R4, and relevant party indicated that the facility does not have sufficient staff to meet the residents' care needs. R1 stated that they've had to wait about an hour for a response from care staff with their call button. R1 stated that there are too many residents in need for staff to care for and they don't get enough time to care for the residents. R2 stated that there are a lot of residents in need of assistance and some caregivers are pulling two wheelchairs at the same time. R2 stated that caregivers cannot spend enough time with residents because there are too many residents in need of assistance for the amount of caregivers on shift. R3 stated response times to call buttons are never ten (10) minutes and they've had to wait an hour for assistance after sustaining a fall. R4 stated that management reduced the amount of staff on duty at any given time and has had to wait an hour for a response to their call button. Interv iew with relevant party indicated that caregivers don't even have enough time to talk with residents and are stretched thin. Relevant party stated that staff want to provide care to residents, but just can't due to there not being enough staff on duty. Interviews with staff members S1, S3, and S4 indicated that standard response times to resident call buttons should be within ten (10) minutes. Interview with S1 indicated that R1 has had to wait forty-five (45) minutes to receive assistance to the dining room due to S1 needing to provide care to other residents. Interview with staff member (S2) indicated that they can take fifteen (15) to twenty-five (25) minutes to respond to a call button. S2 stated that there are a lot of residents who need assistance from staff and they can't "do everything at once." S2 stated that they may not have time to respond to a call button due to providing care to someone else. S2 stated that they feel staffing is "terrible" at the facility. Interview with S3 indicated that staff get busy and can't assist residents timely. S3 stated that they feel the facility is short on staffing. Interview with S4 indicated that "everything" is not being responded to timely and they "definitely" feel there should be more staff on duty. ** Report continued on 9099-C ** LPAs obtained and observed facility's Emergency Needs Response, which states "response call logs are reviewed at community morning meetings and monthly Quality Assurance meetings. All calls exceeding a 10 minute time response will be reviewed further." LPAs observed call button logs for resident R1, R2, R3, R4, R5, R6, R7, R8, and R9 for the month of September 2024. LPA observed multiple call button response times exceeding 10 minutes and reaching as long as 419 minutes. LPAs toured the facility and observed that it took 12 minutes to walk the interior and exterior parameter of the care home. Based on 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, deficiencies are being cited on the attached 9099-D page. Exit interview was conducted with ED. A copy of this report and appeal rights were provided. ED's signature on these forms acknowledges receipt of these documents.