complaint·May 29, 2024

Staff practices related to hygiene were reviewed. It was observed that regular hygiene routines were followed, including bathing, grooming, and changing of clothes. R1 was provided with necessary supplies (e.g., toiletries, clean linens). No evidence was found to support the claim of inadequate hygiene maintenance. LPA direct observation revealed R1 had a water bottle at R1's bedside as well as access to food and fluids. Interviews with facility staff revealed; staff members consistently provided basic services such as hydration, toileting, and assistance with daily activities to R1. The allegation of staff negligence resulting in dehydration was not substantiated. R1 was regularly offered fluids, and no patterns of neglect were identified. LPA interviewed R1's responsible party (RP). RP expressed confidence in the facility and the facility staff. According to RP, they have had no previous issues or concerns related to the quality of care that R1 has received while at the facility. RP stated that facility staff cannot force R1 to drink fluids and when R1 is thirsty R1 will ask staff for water. RP stated that they are having some internal family issues where a certain family member wants R1 transferred to a medical facility and also wants to become R1's responsible party or power of attorney. Records review revealed Administrator had been in regular contact with both R1's responsible party as well as outside parties that were not privy to R1's confidential medical records or information. LPA interviewed Administrator who stated that she has been in regular contact with R1's responsible party since R1 was recently admitted to the facility. Administrator stated that R1's responsible party is happy with care that R1 has been receiving while at the facility and stated that they plan on transferring R1 back to the facility once R1 is discharged from the skilled nursing facility that R1 is currently at. Administrator stated that R1's dietary needs were met daily according to R1's physician's report. Administrator stated that although R1 was not ambulatory all of R1's hygiene needs were met, including; bathing, sponge baths, grooming, etc. Administrator stated that R1 was regularly given fluids by facility staff and dehydration was never noted on any of R1's hospital discharge documents. Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. An exit interview was conducted with Arceli Songco. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Arceli Songco whose signature below verifies receipt of these rights.