complaint·February 26, 2026

(Continued from LIC9099, Page 2) A records review of the incident showed that both a physician's report dated 08/30/21 and a resident appraisal (no date) diagnosed R1 with Parkinson's disease, insomnia, and gait instability. The physician's report stated that R1 was no t able to leave facility unassisted . The Resident Appraisal listed the history of R1 having been hospitalized on three separate occasions: twice due to falling down stairs and once due to insomnia induced hallucinations. On the ISL Base Level of Care Assessment performed on 09/09/2021, it was determined that R1 was a fall risk and required escort services up to three times a day. Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation(s) occurred and are therefore substantiated.  Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D).  A Plan of Correction was jointly developed with ED Miller. An exit interview was conducted with ED Janet Miller, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.