Complaint·March 8, 2025

As a result, R1 pulled out the catheter, without any warning, causing severe bodily harm to R1. It was learned that facility staff who were present did go ahead and contact 911 who responded and took R1 to the hospital for medical treatment. Based on a review of the facility forms and documents for R1, it was observed that a recent Physician's Report, LIC 602, was updated by R1's responsible licensed medical professional on 09/19/2024 addressing R1's current diagnosis and care needs. Based on a review of the file for R1, it was learned that R1 had a history of sustaining bladder infections due to R1's inability to urinate on a regular basis. This was one of the issues that was targeted with the surgery so that R1 could have regular visits to the restroom in order to prevent future bladder complications. It was learned that R1 was then equipped with a catheter to facilitate urination and the healing process as well. Based on a review of the forms and documents submitted by this facility, it was learned that R1 has been a resident at this facility for almost 10 years. During this span of time, all of R1's finances have been handled and paid by a trust that was set up to meet R1's care needs and maintain R1's financial capabilities to remain in an assisted living environment. It was learned that all invoices for basic services, medications, and ancillary needs were initially paid up front by this facility. This facility would then generate an invoice at the end of the month and submit them to the party responsible for handling and maintaining R1's finances which was done so through R1's trust. It was observed that receipts and all services rendered for each individual month were captured and submitted to the trust in order to receive payment. It was noted that this facility, and it's representative, finally initiated an increase in the monthly basic services fee, back in the latter part of 2023, which then went into effect in February of 2024. All letters notifying the resident and their responsible parties of the rate increase were observed to be present and served with the adequate time frame in mind as well. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegations finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited at this time. Exit Interview complete them upon R1's next scheduled appointment. It was learned that this was met with disdain from the facility staff person who did not pursue the matter any further after R1 refused to comply with their request. It was learned that these documents were already filled out by the facility staff person assessing R1's capabilities and care needs at that time. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were 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