complaint·May 10, 2022

Interviews with relevant parties indicated that R1 experienced surgery prior to admission at the facility. Admission Agreement for R1 states that R1 was admitted to the facility on 1/17/2019. Interviews with relevant parties indicated that R1 had a hip and ball replacement in December of 2018. Interviews with relevant parties indicated that R1’s hip fracture occurred prior to admission at the facility. R1’s Preplacement Appraisal Information states that R1 had “recent hip surgery” and that, on 11/18/2018, R1 had “surgery to replace hip ball.” Allegation: Staff did not assist resident with their medication Interviews with staff members S1 and S2, and relevant parties indicated that PRN medications for R1 were administered as needed for R1 during their time at the facility. During interview conducted with R1 on 10/28/21, R1 stated that staff provide "good" care and treat the residents well. R1 stated that they have been taken care of well. R1 stated that they were not experiencing any pain and that care staff help with R1’s pain management “just fine.” Allegation: Staff are not following resident's mobility care plan R1’s California Assisted Living Waiver (ALW) Program Individual Service Plans (ISPs) dated for 12/11/2018, 3/18/2021, and 12/9/2021 state that facility will encourage member to continue daily exercises, assist in obtaining mobility devices as needed, evaluate the use of assisted devices, check member every 2 hours for falls, and encourage member to continue compliance with using cane. Interviews with S1 and S2 indicated that R1 receives transfer assistance when moving from bed to wheelchair. Interviews with relevant parties indicated that facility follows R1’s mobility plan as indicated in R1’s ISPs. Allegation: Resident was left on soiled linens for an extended period of time ** Report continued on 9099-C ** R1’s ISPs dated 12/11/2018, 3/18/2021, and 12/9/2021 states that facility will offer toileting every 2 hours for R1. Interviews with S1 and S2, and relevant parties indicate that the facility is checking on R1 every 2 hours to see if R1 needs assistance with incontinence care. Based on interviews conducted by the Department and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation 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 was conducted with Administrator and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents.