complaint·June 17, 2025

Continued from 9099... which include incontinence care, but nothing just on incontinence care alone. During investigation, LPA interviewed residents. One [1] resident available for interview did not require incontinence care and one [1] resident available for interview did not have continuity of cognitive function or capacity to answer LPA’s questions. Three [3] out of five [5] residents indicated they use their pendants to alert staff as to when they need incontinence care. Residents indicate that the only time staff show up outside of them pressing their pendant is when they are giving them their medications. Three [3] out of five [5] residents indicated they typically have to wait between 5-15 minutes after pressing their pendant to get incontinence care, with one reporting that the longest they waited was about 30 minutes. Facility has current residents that have declining cognitive functioning such that they cannot properly communicate their needs or have ability to remember to press their pendant should they have a care need. The pendant response wait time paired with the facility’s lack of written procedure for incontinent care meets the preponderance of evidence. Therefore, based on LPA’s interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D.