Complaint·June 10, 2025

LPA interviews with staff revealed many of the residents are relatively independent and do not require much hands-on assistance. Staff stated R1 requires the most assistance out of all residents currently and resists staff assistance at times. Staff stated, R1's family hired an outside caregiver just after their admission to the facility to assist facility staff due to increased care needs. Staff stated R1 prefers to stay in bed, but it does take 2 care staff to provide some care to R1. When the outside caregiver is not there staff stated they can radio for help from medication technicians or another available care staff and they receive support form the other staff. Staff stated they are able to meet the residents needs, but feel R1's level of care is too high to reside in the facility. Staff interviews revealed R1 uses a pendant to call staff regularly for assists inlcuding to drink fluids. Staff interviews also revealed that facility caregivers (Personal Care Attendants) do not have a way to review each residents care needs. Staff stated care needs are relayed at shift change meetings, but only medication technicians have access to care plans and resident appraisals. During LPA interview with R1, R1 stated they prefer to stay in bed, the staff provide assistance when needed, including providing R1 fluids. R1 stated they just want to sleep and not get out of bed. LPA interview with Lisa Hulse, Vice President of Operations, and resident file review revealed the facility contacted R1's primary care physician regarding R1's change in condition on 5/9/2025, the day after admission, and the physician visited R1 on 5/13/2025. Lisa stated R1 received additional assistance upon admission through home health care agency Central Coast Home Health and after R1's first hospitalization was transitioned to palliative care through the same agency. LPA record review revealed R1 has been to the hospital two times since in care at the facility and neither visit had a discharge diagnosis of dehydration. Record review revealed three appraisals of R1 were completed prior to R1's admission, a reappraisal due to updated care needs for R1 has not been completed as of today's visit. Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated, meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted, no citation was given at this time and report was provided.