Complaint·July 21, 2023

require oxygen. Based on R1’s physician report dated 7/13/2023, it was documented that R1 has resolved aspiration pneumonia and does not require oxygen. LPAs reviewed R2’s file and the facility house rules regarding smoking. Based on the facility house rules and interviews conducted, the facility does not allow residents to smoke cigarettes inside the facility, however residents are allowed to smoke cigarettes in the designated smoking areas. In addition, based on the interviews conducted, residents are able to smoke when they like as the facility does not have a smoking schedule. Based on R2’s file, LPAs observed a written agreement between the facility and R2 indicating that R2 will receive a fixed amount of cigarettes per day by facility. Furthermore, LPAs reviewed R3’s file. Based on R3’s file, R3 was admitted to the facility on January 2021. Upon admission, R3 did not have a diagnosis of dementia. The physician’s report documentation dated, April 2023 indicated R3 was diagnosed with dementia. According to the Program Director and Team Leader, the facility has been in contact with SFDPH Placement Team and R3’s case manager, however, has not been successful with finding R3 placement. In addition, according to the Program Director, R3 is currently at the San Francisco General Hospital due to R3’s progressive dementia and the social workers and case managers at the hospital are assisting with trying to find R3 placement. Therefore, based on the interviews conducted, files reviewed, and information collected, the allegation that the facility is retaining residents with higher level of care is UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred. Report is reviewed with Program Director, Adela Morales and a copy is provided.