Complaint·June 5, 2025

On 06/05/2025 Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced complaint inspection to deliver findings regarding the complaint allegations received. LPA met with administrator, Joyce Lee, LPA explained the purpose of the visit. Regarding the allegation that facility staff’s neglect/lack of care and supervision led to resident death. Although resident appeared stable with no alarming symptoms reported by staff, hospital physician noted that while earlier intervention might have helped, sepsis can develop rapidly in the elderly without obvious signs, and the family's decision to pursue comfort care was appropriate. Regarding allegation that facility staff failed to seek timely medical attention for resident admitted to the hospital with septic condition. Resident’s medical records show her chief complaint was shortness of breath and she was diagnosed with sepsis, hypovolemic shock, and recurrent stroke, with staff and the administrator reporting no significant changes before hospitalization, and the attending physician noting that in elderly patients, infections like UTIs and sepsis can progress rapidly with few or no symptoms. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove whether the allegations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report reviewed and a copy of this report is provided to the administrator.