complaint·September 13, 2023

ADM stated that R1's mobility became harder including food intake due to swallowing issue. ADM stated that R1's responsible party was actively involved and well informed about R1's care needs including his/her relocation. On 06/05/2020, the Department interviewed Administrator (ADM). ADM stated that R1 declined in mobility functionality due to weakness on right foot and left leg was giving out due to stroke. ADM stated that on 05/31/2020, 911 was called because R1 was observed drooling and facial drooping. ADM stated that R1 sent to the hospital and was seen by Physical Therapy wherein R1 was not able to bear weight which happened the previous week. ADM stated, "we don’t really want to put her/him at risk in terms of standing her/him up." ADM stated, "we were lifting her/him up.. even me, it is pretty much dead weight.... it was requiring two people to lift him/her up.." ADM stated that when R1 was discharged from the hospital, R1's responsible party was adamant about sending R1 to skilled nursing facility. ADM stated R1's care was discussed with his/her responsible party since last year (2019) that the facility may not be able to handle R1's care. ADM stated that R1's PCP agreed that R1 needs to go to short term rehabilitation to build up her/his stamina maybe and the family wants to bring her back. On 09/06/2023, the Department received a response from R1's social worker from Onlok to state, " I am writing to confirm that at the time of R1's hospitalization, it was determined that he/she needed a higher level of care following that hospitalization. R1 was then placed at a Skilled Nursing Facility." The Department has completed the investigation of the above allegations. Based on interviews conducted and record review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, Exit interview conducted with Administrator Samonte, and a copy of this report provided. Staff member Eluminada Yap signed on ADM's behalf. Page 2 out of 2, End of Report On 09/13/2023 LPA Monter interviewed facility staff. 2 out of 2 staff stated R1's did receive physical therapy back in 2020, but don't remember exactly as it was a long time ago. Facility staff did not clip resident's toenails. On 7/26/2023, the Department conducted subsequent interview with Administrator (ADM) on the phone. ADM stated that staff at the facility are not allowed to clip R1's or other residents' toenails. ADM stated that R1's case manager was informed about R1's toenails. ADM stated that R1's other responsible did mention to them about R1's toenails but he/she was informed about their disposition. ADM stated, "What's long for him/her is not long for us." ADM stated that R1 was seen by case manager (CM1). CM1 was aware of R1's toenails. ADM stated that the R1's responsibility party/power of attorney was aware about this complaint allegation, and it was discussed with him/her. On 06/05/2020, the Department interviewed Administrator (ADM) regarding R1's toenails. ADM stated, " no, we do not cut toe nails, we take them to their doctor or the doctor at their clinic does that. I used to have a podiatrist who comes to the house, but they retired now. " ADM stated that R1 would go every three months... the last time she/he went to get his/her nails clipped was in March. That is when they stopped everyone going to the clinic. She hasn’t gone then since the clinic is closed. Basic services does not cover toe nail clipping. There was nothing in R1's Admission Agreement about toe nail cutting." On 09/13/2023 LPA Monter interviewed 2 residents regarding the allegation. 2 out of 2 residents stated they have not seen other residents with long toenails. R2 stated the facility will take him/her to the podiatrist to get her toenails trimmed every 2 months. 1 resident did not want to be interviewed. 1 resident was not interviewed due to language barrier. Staff stated R1's roommate does not live in the facility. LPA interviewed 2 staff regarding the allegation. Both staff interviewed stated the facility does not cut the residents toenails, the podiatrist does that. Based on the interviews conducted, observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.