complaint·December 6, 2023

Witness also stated R1 was not taken to activities by staff. Staff stated the R1 attended activities when R1 wanted to. Facility notes state the R1 stayed in bed a lot. Title 22 regulations does not allow for staff to force residents to participate in activities. Witness also stated they found R1 soiled each time witness visited R1. Staff stated R1 was checked on a regular basis. LPA was unable to interview R1. Due to the information gathered, LPA cannot determine the allegations: Staff not following resident care plan and Staff do not meet resident's dietary needs. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Medical records obtained did not mention pressure injuries. LPA interviewed responsible party of R1 and the responsible party stated there were no pressure injuries treated while R1 was at the facility 2. Staff interviews stated R1 did not show any signs of trauma after a fall at the facility nor did R1 have any pressure injuries. LPA obtained a copy of medical records from two different locations, and both stated the resident had a chronic injury and did not mention any pressure injury. The medical records also stated resident did not show any sign of discomfort and had full range of motion of and wrist. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and report provided.