complaint·December 21, 2023

(Continued from LIC9099) Regarding the allegation, "Neglect resulting in resident being severely malnourished", staff interview revealed consistent accounts of Resident 1 (R1) refusing to eat, often becoming agitated and spitting food out. Staff interview further revealed that the Licensee had ongoing contact with R1's doctor and responsible party regarding the lack of food intake, which resulted in adjustments that increased R1's nutrition intake. Outside source interview was consistent with staff interviews regarding R1's resistance and agitation with food and beverages. Outside source interviews did not express concern regarding the care being provided to R1 at the facility. Records review was consistent with staff interviews regarding R1's eating issues, revealing alternate prescribed interventions by R1's physicians to assist with nutrition and fluids. Interview attempts with R1 were unsuccessful. Regarding the allegation, "Neglect resulting in resident suffering dehydration", staff interview revealed that in addition to meals, R1 also frequently refused offers to drink water and became agitated. The Licensee advised R1's doctor, and a plan was made to increase R1's liquid intake. Outside source interviews did not corroborate the allegation. Records review was consistent with staff interviews regarding R1's drinking challenges and gave evidence to the interventions prescribed by R1's physician to help with liquids intake. Interview attempts with R1 were unsuccessful. Regarding the allegation, "Neglect resulting in resident sustaining multiple pressure injuries", staff interview revealed that R1 was not ambulatory and the Licensee was active in attempting to prevent pressure injuries by obtaining a special cushion for sitting, as well as a low air mattress bed. Staff interview further revealed that the Licensee took the appropriate steps to notify R1's medical professionals regarding pressure wounds that began to develop. Outside source interviews revealed that the pressure injuries sustained by R1 were not a result of the care being provided by the facility. Outside source interviews did not express concern regarding the care provided to R1 by the Licensee. Interview attempts with R1 were unsuccessful. Regarding the allegation, "Neglect resulting in resident sustaining serious injury", staff interview revealed that the noted injuries sustained by R1 were due to multiple falls that occurred prior to their admittance to Ranchview Senior Assisted Living. Staff statements were corroborated with resident records. (Continued on LIC9099-C) (Continued from LIC9099-C) Outside sources interviewed did not express concern regarding R1's care and treatment at the facility; outside sources informed that R1 sometimes forgot that they were non-ambulatory and attempted to walk. Interview attempts with R1 were unsuccessful. Regarding the allegation, "Staff did not observe change in condition", staff interview revealed that staff checked on R1 every 1-2 hours due to being a fall risk. Staff interview further revealed that staff immediately contacted 911 and provided direct care to R1 after a fall at the facility. Records review corroborated staff statements and revealed that staff did observe R1's changes in condition and contacted R1's responsible party and physician timely. Interview attempts with R1 were unsuccessful. Based on interviews, direct observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Marketing Manager Maria Flores, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.