Complaint·September 1, 2022

The LPA toured the facility and found the resident's vacated room clean and free from urine and/or feces, including urine and feces odor .It is unknown how the resident's room and bathroom were cleaned and maintained prior to the LPA's inspection. There was differing information obtained from reporting party(s) and others interviewed regarding the allegations. Based on LPAs observations, record reviews, interviews with staff, interviews with other party(s), there is insufficient information to prove or disprove the allegation of "resident hygiene needs not being met" and "facility is not being kept clean." Although the allegation(s) 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 citations/deficiencies. Exit interview conducted with the Administrator. Per record reviews, there were no progress notes of resident's observed changes and/or any written documentation of resident observed change in condition. There was no documentation that was written and able to be provided and updated as needed in order to ensure the needs of the resident could be addressed by required parties, such as the Physician of the resident. Per record reviews the resident had a prescription for "stool softener" to be given daily, and was still receiving the medication, though the resident was experiencing loose stools; Per record review, Physician had not been notified and/or no written documentation for staff to ensure monitoring of the resident in regards to loose stools, in order to ensure needs of the resident are being met. Resident per interviews had started having loose stools approximately around 3/16 and/or 3/17, 2022. Resident had continued to have issues with bowel movements and was seen by the Physician on 3/22/22. Resident was treated for dehydration and also noted in medical documentation was "resident bowel function was liquid." Resident was prescribed an over the counter medication, Imodium for loose stools. The Physician had the stool softener stopped while resident was having loose stools. Resident was moved out of the facility 3/30/22. Per the investigation, there was no follow-up documentation on resident's observed changes, no documentation to staff on monitoring the resident for loose stools and hydration due to loose stools, no documentation notifying the Physician. Based on LPA interviews, and review of information obtained, the investigation has revealed that the allegation of "facility failed to meet the needs of the resident ' has been substantiated. Due to the substantiation of the allegation, deficiency citations will be issued, 7468.2 Additional Personal Rights of Residents in Privately Operated Facilities and 87466 Observation of the Resident -see LIC9099D. The preponderance of evidence standard has been met, therefore the allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Appeal Rights Given. Exit interview conducted with the Administrator.