Complaint·April 5, 2024

Continued from LIC9099... On 2/6/2024, LPA conducted an unannounced visit and observed that the facility has an activity board that confirmed that it does not include specialized activities that includes residents who have mobility limitations. During the visit, LPA toured R1’s bedroom and observed that their room is shared with another resident (R2) for about a year. Based on confidential interviews conducted by LPA with staff (S1 & S2) and residents in care (R2 & R3), who expressed that they do have a variety of activities as walks, go out for lunch with their families, watch tv, bingo, etc. Based on records review, R1’s physician report dated 12/28/2023 indicates that R1 is non-verbal, requires assistance with turning or repositioning in bed and with their daily activities. Per Licensee, they were aware that admitting a resident in their condition will require them to provide specialized activities, the licensee indicated that they had been trying to enroll R1 in a physical therapy provided by home health, but it was refused by R1’s responsible party. LPA will address the lack of activities provided by the facility with case management. A finding that the complaint allegation of facility staff isolating a resident to their room occurs is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding allegations of facility staff do not ensure that the resident has an adequate amount of water. Per reporting party, the resident (R1) is not provided with an adequate amount of water. During the investigation, on 2/6/2024 LPA/staff toured the facility including bedrooms used by residents in care. During the tour of the physical plant LPA/staff observed in the shared bedroom for R1 and R2 both residents had a bottle of water on their night table. The bottles of water are half full and there are about 18 ounces of water in each resident's (R1 & R2) bottle. Based on records review, R1’s daily personal care worksheet for the month of January 2024, indicates that the facility had been assisting R1 with bathing, bowel, bedding change, brushing teeth, incontinence, dressing, mobility exercises, grooming, hand care and laundry. LPA obtained Santa Rosa Police Department records of two welfare visits conducted on 2/7/2024 event #SR40001279 and 3/8/2024 event #SR240002413, the findings obtained resulted in an unfounded case disposition. LPA attempted on various dates (3/18/24 at 12:52pm and 3/27/24 at 9:00am) to speak with R1’s responsible parties to gather additional information but was unsuccessful. A finding that the complaint allegation occurs of facility staff do not ensure that the resident has an adequate amount of water is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Licensee over the phone and a copy of this report was given.