Complaint·December 7, 2023

noted changes in function of increased pain. Constipation was noted noted in Progress notes on 3/15/23. Again, R1's activity, function and food intake were unchanged. On 3/18/23, R1 was observed to be experiencing: lethargic, low food intake, weakness, finger injured swollen. The facility initiated medical evaluation. The facility staff were notified on 3/19/23 by the hospital, that R1's "kidneys do not look good." (R1 had a prior history of kidney disease.) On 3/25/23, progress notes noted a call from hospital that R1 was now experiencing dehydration. When R1 returned to the facility on 4/29/23, that R1's weight was then 142 lbs. LPA made repeated attempts to obtain Hospital records. The hospital records were not released to this LPA. Therefore, conditions at hospital admission nor the course of R1's care while hospitalized could not be confirmed. Care plan and care notes showed care provided as agreed to. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator. However, the Sunrise Service Plan, provided to LPA, regarding R1 states (the friend) is not allowed on Sunrise property- call the sheriff and Conservator if (the friend) comes to Sunrise. As R1’s Service Plan states such a visitation restriction and it was based on a direction from R1’s Conservator, who did not have legal ground to set such limitations, this allegation is substantiated. R1 was allowed other visitors and progress notes did not note requests for the friend nor was there a change noted to R1’s overall emotional status as a result of the lack of (the friend) visitation. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Barbara Barrob . Copy of this report and appeal rights provided.