complaint·July 25, 2025

(PAGE 2) Report continued from LIC 9099... During today’s visit, starting at 10:51 a.m. LPA and staff conducted a physical plant tour to ensure there are no immediate health and safety concerns and facility is in compliance with Title 22 Regulations, starting at 11 a.m. conducted eight (8) in-person interviews, with three (3) residents including Resident #1 (R1), two (2) family visitors, four (4) staff including the Licensee Representative, and Administrator, attempted four (4) telephonic interviews, at 12:39 p.m. conducted a file review for R1 and obtained copies of pertinent documents relevant to the investigation. On the allegation Staff admitted a resident with a prohibited health condition, it is the concern of the Reporting Party (RP) that the facility staff admitted R1 with a prohibited health condition of a gastrostomy tube (g-tube) and are unaware if the facility can accept or treat R1 with the g-tube. To investigate this complaint, LPA conducted four (4) in person interviews with the staff including the Licensee Representative, and Administrator, and conducted a file review on R1. Interview with the Licensee representative and Administrator revealed that R1 has been on Hospice since 01/17/2025 and submitted all the required documentation to licensing. R1 is seen 2-3 times a week by the hospice agency who handle and care for R1 g-tube. Licensee Representative also noted that they are licensed physician, an appropriately skilled professional who is available on site to monitor R1’s feeding and assess the insertion site on a daily basis, as they are regularly at the facility to monitor R1. Staff interviews revealed that the hospice agency is regularly at the facility ranging from 2-3 times a week monitoring R1’s g-tube. Staff also noted that the Licensee representative, Dr. Rashita Aggarwal is at the facility on a daily basis and monitors R1 focusing on the g-tube. File review revealed that R1 is receiving hospice services and have been on hospice since 01/17/2025. The agency is scheduled to have a minimum of 3 visits a week and handle R1’s plan of care including the g-tube. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff admitted a resident with a prohibited health condition is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report provided. *This report has been amended to remove confidential information*