complaint·April 9, 2026

Regarding the allegation: Staff do not have proper training. It was alleged that caregivers are not properly trained on how to use a Hoyer lift. Interviews with staff conducted on 10/28/2025 revealed that four (4) out of eight (8) staff stated that they did not receive formal or proper training on how to use a Hoyer lift. Two (2) out of eight (8) staff interviewed revealed that they did receive proper training from a hospice agency but that it was a long time ago and that newer employees have not received training from an outside vendor on how to properly use a Hoyer lift. The LPA spoke with the Interim ED regarding Hoyer lift training and inquired if there are residents that require the usage of a Hoyer lift. The Interim ED stated that Regency does not accept residents who require a Hoyer lift and currently there are no residents who require the Hoyer lift. Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Staff do not have proper training” is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). Exit interview conducted with Interim Executive Director (ED) Stephani Smith. A copy of the report and appeal rights were provided. Regarding the allegations: 1.) Staff placed resident in the secured memory care unit without proper authorization. It was alleged that a resident was placed in the Memory Care (MC) unit due to the Assisted Living (AL) unit being full. Record review of the resident census and roster did not confirm or match the name given by the complainant. Interview with the ED at the time, Ken Mahler revealed that once a resident is showing signs of dementia or similar behaviors, discussions are held with the residents and responsible party to go over options such as Memory Care (MC). The ED stated that there are a few residents that go to the MC side during the day but return to their rooms in the AL to sleep. Per record reviews and staff interviews, the LPA could not determine which resident is in the MC due to AL being full. Additionally, the complainant did not provide additional information regarding the allegation. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. 2.) Staff pinched resident in care. 3.) Staff covered resident's mouth with a piece of clothing. It was alleged that Staff #1 (S1) pinch residents and cover residents mouths with a piece of clothing. Four (4) out of thirteen (13) staff interviewed stated that they heard about S1 pinching and covering residents’ mouths with clothing but they did not directly witness it. However, staff interviewed revealed that they have witnessed S1 be aggressive and rude towards residents. The LPA cited for S1 not according residents with dignity under a Case Management Deficiencies visit on 04/09/2026. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted with Interim Executive Director (ED) Stephani Smith. A copy of the report was provided.