Complaint·August 22, 2024

continued from 9099... During LPA investigative visit, as well as previous visits, LPA observed staff preparing resident’s meal according to resident’s specific dietary needs as outlined in their ISP. Additionally, complaint alleges resident’s legs not being elevated per their care plan because their hospital bed was broken. Investigation revealed that bed’s foot raising feature was broken for approximately one week. However, the primary way by which resident’s legs were elevated is by use of wedges and pillows. The bed being broken did not prohibit resident’s legs from being elevated as the foot raising feature was used as a supplemental aid to help raise and elevate the legs; it was not the main source of elevation. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Complaint alleges Personal Rights. RP states that resident postural support chair (recliner) was not implemented timely by facility which resulted in resident not being able to be in common areas of facility. During investigation, LPA reviewed doctor’s orders and there is no mention of a postural support chair being needed. Resident’s wound care doctor noted that the legs being elevated would be good but did not specify the method by which the legs should be elevated. Investigation revealed that request was made by resident’s POA for a postural support chair in beginning in March. Per LPA interviews, POA wanted the recliner placed in a certain area of the home, in order to accommodate the request, facility needed to stabilize the base of the recliner and made the request to do so with a handyman. On April 18, 2024 facility added the use of a recliner to resident’s care plan. On April 30, 2024 LPA received a request inquiry from facility in regards to the use of a recliner for resident as a postural support chair. LPA and facility discussed maintaining compliance with regulations as pertains to implementing the recliner as part of resident’s care plan. On May 7, 2024 LPA gave the okay for use of the recliner. Per LPA investigation facility addressed recliner request and made the required notifications and requests to licensing within a span of 60 days. The absence of the recliner chair cannot confirm that resident that resident was isolated due to lack of chair. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Continued on 9099C(2)... Continued from 9099C(2)... Complaint alleges Facility staff do not have required First Aid and/or CPR certification. During investigation LPA observed one staff member to not have 1 st Aid/CPR training. However, this staff was just recently hired and only ever was scheduled to work with another staff member present at all times. All other staff have current 1 st Aid/CPR. Per Health and Safety Code 1569.618(c)(3), the facility shall employ at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times . So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Complaint alleges Facility does not provide activities. During investigation LPA observed residents participating in activities. During LPA annual inspection in 2023 and all subsequent visits to the facility in 2024, each time LPA was present at the facility, LPA has observed residents participating in activities. Facility has a readily visible large assortment of games, puzzles, and a wide and varying amount of art supplies available, all of which are stored in front living room. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Complaint alleges Facility is not following doctor's orders. During investigation LPA reviewed doctor’s care notes for resident. Per LPA review of resident’s Individual Service Plan (ISP), current list of doctor’s orders, care notes, and doctor visit summary, facility is following doctor’s orders. Resident’s Daily Routine Cheat Sheet is in line with doctor’s orders, physician’s report, and ISP. Doctor notes wound care is adequate as wound is almost completely healed. Facility In-Service training records show staff training on resident’s specialized equipment and for resident’s wound care. Complainant indicates resident losing weight due to possible neglect. Investigative review of doctor visit summary indicates despite adequate caloric intake, resident is still losing weight. Doctor has referred resident to specialty department for further testing. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited.