complaint·January 20, 2023

Interviews with outside sources revealed R1 did not like going into the bathroom and would get agitated when doing so. Interviews further revealed that during the date in question, R1 was agitated and did not want to shower; however, S1 involuntarily made R1 take a shower. S1 then spoke to R1 in a loud and disrespectful manner. Records reviewed confirmed R1 had a diagnosis of dementia and was notated to have severe agitation and combativeness with showers. Records obtained from an outside source and direct witness statements corroborated the incident in the shower and supported the allegation. This Department investigated the allegation that the facility staff did not treat resident(s) with dignity. Based on interviews and records reviewed, the preponderance of the evidence standard has been met; therefore, the allegation has been deemed substantiated. A citation is being issued in accordance with California Code of regulations, Title 22, Chapter 1, Division 6 and listed on the LIC9099D and a plan of correction was developed with the Licensee. An exit interview was conducted and a copy of this report, List of Confidential Names, LIC9099D, and Licensee/Appeal Rights (9058 01/16) were provided.