Complaint·July 31, 2025

ADM added during the interview that morning medications were prepared by the night staff, and the ADM was not made aware of the medication containing a half pill. Based on interviews and observation, the above allegation is determined to be SUBSTANTIATED. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed and copy of the report and appeals rights is provided. page 2 of 2 RP states he/she is unsure if S2 actually hit a resident but R1 once said he/she was beaten in the shower, however RP did not ask R1 who beat him/her. LPA also interviewed staff, S1 denied saying anything about S2 putting up a fist to R1. S1 also shared R1 always has two showers a week and additional ones if needed. R1 is very combative but it takes a lot of patience when they shower R1. S2 mentioned that R1 is combative but listens to him/her most of the time. S2 assists when R1 gets showers because of combative behavior. S2 denied ever hitting R1 or any resident. S3 also added that with R1, it always has to be a 2 person assist for showers due to the behavior. LPA attempted to interview R1 but he/she was not able to give coherent answers to the LPA. Based on records review, the facility has been constantly updating their progress notes regarding R1. There are entries about R1 having combative behaviors during showers, very uncooperative and refusing medications, but staff are still able to provide the needs for activities of daily living for the resident. LPA was also able to obtain police report records. It was stated in the report that there is no merit to the allegations of elder abuse. The facility is neat and clean. The patients at the facility were properly clothed, had no signs of visible injury, and appeared to be adequately fed. Regarding the allegation of staff did not assist residents with obtaining medical care services, RP stated that R1 screams constantly and needs hearing aids. RP states the facility has not made any attempt to have R1s hearing evaluated by a medical professional to determine if he/she needs hearing aids. Based on records review, R1 has been checked by the R1s physician at least twice during the duration of the stay and there were no references about the hearing being an issue. Based on observation, during the LPA visit, when care staff are talking to R1, they are talking in a low voice and asking if R1 needs any help. R1 responds with no issues and can clearly hear what that care staff was telling R1. During the LPAs attempt to interview R1, he/she was responsive even when the LPA was asking questions in a regular voice. page 2 of 3 Regarding the allegation of Licensee did not provide planned activities for residents, RP states the residents just watch television all day because the facility does not provide any activities for them like games or books. During the interviews, S2 stated that they do some exercises in the morning. ADM also stated that they try to provide some activities and try to involve residents but most of them don’t want to participate. S2 mentioned walking the residents out in the morning. S2 also added that 2 of the residents just prefers to chat. Based on records review, facility provided a copy of the activities initiated by care staff everyday. Based on interviews and records review, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Report is reviewed and copy is provided. page 3 of 3