complaint·September 24, 2024

Resident R2 has a Primary Diagnosis of Dementia, is not able to transfer from bed, and is non-ambulatory. R3 has a Primary Diagnosis of Down’s Syndrome and a Secondary Diagnosis of Alzheimer’s disease. R6 has a Primary Diagnosis of Degenerative Disease of Nervous System and Kidney Disease and is on hospice. Residents R5, R7, R8, and R11 have a primary diagnosis of Dementia. R1 and R10 are not able to transfer from bed. R1 and R10 are non-ambulatory. R7 has a diagnosis of Down’s Syndrome. R11 has Alzheimer’s disease. R7 is on hospice. LPA Marrufo reviewed the Appraisal/Needs and Services Plans for Residents R1-R11. LPA Marrufo did not observe any different requirements for care and supervision in the Appraisal/Needs and Services Plans in resident R2, R3, and R6 compared to the Appraisal/Needs and Services Plans of the rest of the residents. During visit on 09/24/2024, LPA Marrufo interviewed staff S1-S4 and ADM, who all stated that residents receive the same level of care. ADM stated during interview that ADM does not accept prospective residents under 60 years old if they do not have the same level of care as the residents who are over 60 years old. On 09/24/2024, LPA Marrufo made telephone calls to the Authorized Persons (AP) of residents R1-R11. LPA Marrufo was able to conduct telephone interviews with resident R3’s AP (AP1), resident R6’s AP (AP2), and resident R7’s AP (AP3). AP1 stated that R3 needed a much higher level of care than the other residents. AP1 stated that R3 needs pureed food, cannot eat alone, is not independent with the toilet, and is non-verbal. After reviewing the Physician’s Reports for resident R1-R11, LPA observed that R4 is not able to care for his/her own toilet needs; R7 requires pureed food and needs support with bowel impairment and is able to communicate some words; R9 is not able to feed self; R10 is not able to care for his/her own toileting needs. AP2 stated that R6 is currently on hospice. AP2 stated that when R6 was first admitted to the facility, R6’s level of care was the same as the other residents before R6 was put on hospice. Page 2 of 3. AP3 stated to not know if residents under 60 years old at the facility require a different level of care than those over 60 years old. This agency has investigated the complaint allegations listed. Based on interviews and review of records, the CCLD has found that the complaint allegation is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This report was reviewed with ADM Rachelle Recinto and a copy of this report was provided. Page 3 of 3. END REPORT