Complaint·February 1, 2023

R1’s medical records were reviewed and indicate, due to their medical condition, R1 receives hemodialysis treatments three times a week. R1 has diabetes, hypothyroidism, atrial fibrillation, hypertension, blind left eye, and depression. R1 ambulates with a walker, uses a wheelchair when going to medical appointments/dialysis, is able to toilet without assistance but requires supervision/assistance with bathing/homemaking tasks. A review of R1’s shower and clothing changes was conducted. R1’s shower records for March 2021 showed that R1 received shower assistance on March 2,5,9,16,18,21,23 and 28. R1’s hygiene records showed R1 received clothing change and hygiene assistance on March 2,5, 9, 16, 18, 21,23 and 28. LPA interviewed R1 during this investigation. LPA did not observe any signs of neglect or abuse. When asked, R1 told LPA they were doing okay and expressed no concerns with the care and supervision received by staff at the facility. R1 records reflect that they do not have a next of kin nor are they conserved. Client interviews did not bring forth concerns or signs of neglect or abuse. Outside agencies were contacted and stated that they had not received any related complaints for this facility. Additionally, an outside agency conducted a visit to the facility during this investigation and observed no signs of neglect or abuse to any of the residents. However, when interviewed, facility staff admitted that they did not change R1's bandage one time. Staff explained that they did not change R1's bandage because they thought it would be changed by dialysis personnel at R1's next visit. However, a review of R1's Needs and Services Plan was shared with staff which showed that facility staff was required to change R1's bandage as needed. The Department has investigated the allegations that staff are not meeting resident's needs, not changing resident’s clothing and bandages, and not ensuring a resident’s hygiene needs are met. Based on interviews and record reviews obtained during the course of the investigation, the preponderance of evidence standard has been met. The findings are determined to be Substantiated. A deficiency is cited in accordance to the California Code of Regulations, Title 22, Division 6, Chapter 8, and is noted on the attached LIC9099-D. A plan of correction was jointly formulated with Licensee, Aguilo. An exit interview was conducted with Licensee, Aguilo. A copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) were provided and Licensee, Aguilo's signature on this form confirms receipt of these reports.