Complaint·March 23, 2023

Interviews and a review of medical records revealed that R1 had a mild cognitive impairment, confusion, and short-term memory issues, used incontinence briefs, and required assistance with incontinence care, bathing, dressing, and grooming. Interviews revealed that R1 had a history of hallucinations and confusion regarding care provided at a previous facility. Interviews revealed that while R1 needed assistance with dressing, R1 could pull off easy to remove clothing and R1 had removed their clothing after waking up with soiled incontinence briefs on at least one occasion. Interviews and records review revealed that in November 2022, the facility self reported an incident report and report of suspected elder or dependent adult abuse to the Department regarding R1’s statements that R1 felt uncomfortable around a male staff. The report stated that the Administrator interviewed R1 multiple times and R1 was unable to recall the incident and did not voice any concerns at that time. Interviews revealed that the facility was unable to match R1’s description of the male staff member to a staff member working the overnight shift and the facility removed all male staff from R1’s care as a precautionary measure. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Administrator Robert Daynes and Assisted Living Director Lilian Escobar , to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy.