complaint·May 23, 2025

Based on random testing, 4 out of 5 residents call buttons were responded by staff in under 15 minutes. 1 out of 5 residents call buttons were responded by staff in 41 minutes. Staff yelled at resident Based on interviews, 5 out of 7 (S1-S7) staff stated staff did not yell at residents. 2 out of 7 staff stated he/she observed a staff yell at a resident. However, S3 and S5 staff did not provide information as to when the incident happened. Based on interviews, 10 out of 11 residents (R1-R11) stated that staff does not yell at residents. 1 out of 11 residents stated staff yelled at him/her. Resident is not being accorded dignity in personal relationships with staff at facility. Based on interviews, 5 out of 7 (S1-S7) staff stated staff did not yell at residents. 2 out of 7 staff stated he/she observed a staff yell at a resident. However, S3 and S5 staff did not provide information as to when the incident occurred. Based on interviews, 10 out of 11 residents (R1-R11) stated that staff does not yell at residents. 1 out of 11 residents stated staff yelled at him/her. Staff are not following doctor’s orders for prescription medication Based on interviews, 6 out 7 (S1-S7) staff stated staff are following doctor's orders for prescription medication. 1 out of 7 staff stated staff are not following doctor's orders for prescription medication. However, S3 did not provide information as to when the incident occurred. Based on interviews, 11 out of 11 (R1-R11) residents stated staff are following doctor’s orders for prescription medication, Page 2 of 3 LPA reviewed the facility Medication Administration Record (MAR) for 5 residents. LPA observed medications are being administered per doctor’s orders for all 5 residents. Facility is not following admission agreement to deliver food to resident Based on interviews, 5 out of 7 staff (S1-S7) stated meals are being delivered to residents. 1 out of 7 staff stated he/she works the overnight shift, and meals are not served during this time. 1 out of 7 state stated meals are not being delivered to residents but did not provide information as to when the incident occurred. Based on interviews, 5 out of 11 (R1-R11)residents stated he/she does not pay for meal delivery service. 5 out of 11 residents stated he/she pays for meal delivery services and receives his/her meals. 1 out of 11 residents stated he/she pays for meal delivery services and does not receive his/her meals. R1 stated that a day in December of 2024, his/her meal was not delivered. R1 did not provide additional information for other days meals were not delivered. Based on interviews, document reviews and observations, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the above allegations are unsubstantiated. No deficiencies were cited during today’s visit based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with Executive Director (ED) Alex Baiasu and a copy of the report was provided.