Complaint·March 2, 2023

9099C(1). .Allegation: Resident sustained an unexplained bruise while in care. Complaint alleges that staff mistreats her and was observed to have a bruise on her face. Staff (S1) stated on 1/27/23 that resident (R1) did not have a bruise when she moved to the facility in December 2022 and has been trying to get used to using a wheelchair, and has bruising on her arm because of this. A second staff (S2) stated that she has not observed R1 to have any bruises on the face but only on her wrist area, stating "her arms are sensitive" as with all of the residents. Two (2) residents stated they have not observed any bruising unless the resident did it to themselves, stating "some of us bump our hands or wrists". LPA Parks did not observe any bruise or marking's on resident's cheeks on 1/27/23. LPA Calzada did not observe any bruise or marking on resident’s face on 2/10/23 or on 3/2/23. Resident’s family member stated “there is no truth to any bruising" by staff and both S1 and S2 are "very professional every time" he has visited. Complaint indicated that R1 was observed to have a bruise on her face on/around 1/19/23. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff scratched resident while in care. Complaint alleges that staff scratched resident's face. Resident stated to LPA on 1-27-23 that she was grabbed by her cheek by staff not that long ago; however, LPA did not observe any bruising on resident's face. cont on 9099C(2).. 9099C(2). . One resident interviewed stated she has not observed staff to ever hit or scratch a resident(s). Another resident stated she has never observed any bruising on any resident(s) due to staff hitting them. S1 stated on 1/27/23 that resident did not move in with any bruises but was frightened of her new living environment. S1 stated that resident can be verbally aggressive, does not like her (S1) and prefers to have staff (S2) provide care for her. S1 stated R1 will allow her to give her a shower. Charting notes for resident R1 document that on 12-10-22 staff (S1) wrote that while attempting to stop resident from sliding out of bed, she “grabbed her arms and accidentally tore her skin… and patched it”. Notes say the “nurse came in to fix the wound’ with instructions to not remove the bandages and to let the wound dry out… the bandages will fall off”. LPA Parks did not observe any bruise or marking's on resident's cheeks on 1/27/23. LPA Calzada did not observe any bruise or marking on resident’s face on 2/10/23 or on 3/2/23. Based on information obtained, including a prior incident when S1 accidentally scratched R1, LPA finds the allegation to be UNSUBSTANTIATED- although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff does not provide a comfortable temperature for resident in care. Resident complains of being cold. House Manager stated on that she removed the vent cover from R1's room, on 1/28/23, the day following when she spoke to LPA Parks. House Manager stated the vent cover had been placed there by a prior resident which "may have been preventing the heat" from heating the room”. R1’s representative stated "there was a vent that was closed in (R1's) room, from the previous tenant, but it has since been reopened” and “my grandma is always cold”. S2 stated on 3/2/23 that there was a plastic cover over the vent in R1's room, but the temperature has always been fine as the door is always open. S2 stated that the temperature is currently the same as it was before with the cover". LPA observed the temperature to appear to be the same as the rest of the facility on 3/2/23, even with the window slightly open. cont on 9099C(3).. 9099C(3).. LPA Parks observed the inside temperature to be 74 degrees on 1/27/23 in the early afternoon. LPA Calzada observed the inside temperature to be 75*F on 2/10/23 and 74*F on 3/2/23. Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff does not provide resident clothing. Complaint alleges that R1 doesn’t have enough clothing other than a hospital gown. All staff interviewed indicated that R1 moved to the facility with only a few items of clothing, including a robe and (2) tops. Resident Personal Property and Valuables (LIC621)was signed by resident’s POA on 12/14/22 with no items listed, including clothing. Staff interviews also revealed that the facility reached out to R1's responsible person on (2) to (3) occasions requesting R1 be provided with additional clothing for colder weather. S2 stated that in addition to R1's representative bringing some additional clothing to R1, another resident, who was cleaning out, gave some of her clothing to R1. (2) residents interviewed confirmed that R1 was given some winter clothing from another resident who was cleaning out. Resident's representative confirmed that the facility did reach out to him requesting additional clothing and he brought some clothing over, stating he felt R1 had adequate clothing when she moved in. LPA Calzada observed additional clothing on 3/2/23 than what was in resident’s room and dresser on 1/27/23, based on photos taken. Resident moved to the facility on/around the middle of December 2022. R1's charting notes indicate that R1's representative brought slippers, a blanket and a pair of pajamas over on 1/10/23 and S2 advised representative R1 needed more clothes. House manager stated that she brought some clothes to the facility for R1 on 1/28/23, after speaking with LPA on 1/27/23,. who stated it was the facility's responsibility to ensure that resident has sufficient clothing for the season and if the family is not responding, the facility can purchase the clothing and then issue a bill for the clothing. Based on information obtained and it not being clear how soon facility reached out to R1's representative, LPA finds the allegation to be UNSUBSTANTIATED- although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.