complaint·February 14, 2024

Interviews with staff revealed that staff assisted residents with showers or bed baths two to three times a week unless the resident was receiving hospice services. In that event, the hospice agency would be responsible for providing showers or bed baths. Staff stated that residents were changed from sleeping clothing into daytime clothing in the morning and staff changed resident clothing as necessary if the clothing became wet, soiled, or dirty. Interviews did not reveal that any residents had a pattern of consistently refusing showers. Residents who wore incontinence briefs were checked by staff multiple times a day and were changed as needed. During an on-site visit in January 2024, LPA Ruiz did not detect any smell of urine or other foul odors. Interviews with staff and outside sources indicated that staff assisted residents with eating meals and encouraged hydration by providing all residents with a cup for water that was kept near the resident. Staff verbally encouraged residents to drink water and finish eating their meals and would notify the Administrator if a resident did not finish all of a meal multiple days in a row. Interviews confirmed that R1 required encouragement to eat meals but did not experience any decline in meal portions eaten. Interviews revealed that staff did not regularly weigh residents at the facility unless a resident had a doctor’s order but would document a resident’s weight from medical records. Interviews with outside sources described staff as attentive, compassionate, and patient, and did not voice any concerns regarding resident cleanliness, observations in changes of conditions, or staff to resident interactions. Interviews with outside sources did not reveal any concerns regarding the care and supervision provided by the facility and did not support the validity of the allegations. The Department was unable to interview R1 due to R1 passing away and the Department was unable to secure facility records for 2020 due to the requirement that facilities must maintain records for 3 years only. The Department has investigated the above-mentioned allegations and based on interviews, the preponderance of the evidence has not been met, therefore, these allegations are deemed unsubstantiated. An exit interview was conducted with Administrator May Paraiso, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).