Complaint·March 9, 2025

09/02/2024 which cited the following issues and reasons for this eviction notice: Thin skin and easily bruising with concerns for maintaining skin integrity Need to be on the toilet requiring assistance to get to the restroom Assistance with transferring requiring use of a Hoyer lift Issues with staying up late due to being on the toilet for long periods of time Requiring 2 staff members for assistance with Activities of Daily Living (ADLs) It was learned that a third eviction notice was also issued on 10/29/2024 to R1 and R1's responsible family and friends citing the following issues and reasons for this eviction notice: R1's inability to independently transfer Pressure injuries and issues with maintaining skin integrity Based on a review of the facility forms and documents submitted into CCL, it was learned that an Appraisal/Needs and Services Plan (LIC 625) was completed for R1 by this facility designated Administrator on 06/24/2024 which was at the time of R1's admission into this facility. It was learned that the issue of needing assistance with transferring was duly noted and deemed that a Hoyer lift would be employed in order to provide adequate care and supervision to R1. It was also noted on this LIC 625 that R1 had a history of bruising easily and sustaining skin tears was also a constant risk. It was learned that this facility designated Administrator planned to involve the licensed medical professional and the Home Health agency to assist in this matter and noted it as such on this form. Based on a review of the facility forms and documents for R1, it was learned that from a completed Physician's Report (LIC 602) dated on 04/12/2024 stated that R1 was diagnosed with dementia and deemed to be Bedridden at that time. It was learned that this LIC 602 was completed two months prior to R1 being admitted to this facility. It was learned that the facility designated Administrator was made aware of this information and was provided a copy of this LIC 602. Based on interviews and a review of the facility forms and documents, it was learned that shortly after being admitted to this facility R1 was then served with an eviction notice to vacate the premises within 30 days since this facility, and its staff, were no longer able to provided the appropriate level of care and supervision to R1 at that time. Based on interviews and a review of the facility forms and documents, this facility designated Administrator was well aware of the health conditions and issues that afflicted R1 upon admission to this facility. An LIC 625 was completed along with updated information from the LIC 602 that was completed two months prior to the admission of R1 into this facility. It was learned that this facility already had a resident under the care of hospice who was deemed to also be bedridden at that time. This facility was already deploying the use of a Hoyer lift in helping to transfer this hospice resident in/out of bed, in/out of their wheelchair, and assistance with toileting as well. It was learned that this eviction notice was served to R1 and R1's responsible family and friends once R1 was admitted and presented additional issues and workload for this facility to take on at that time. This facility already was approved to be able to accept and retain up to (2) residents under the care of hospice at any given time. In addition, this facility was approved and fire cleared to be able to accept and retain up to (1) bedridden resident at any given time. This facility already had the approved programs needed in order to provide the adequate care and supervision to a resident diagnosed with dementia, resident on hospice, and a resident who needed assistance with transferring and toileting needs due to being bedridden. As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interview