complaint·April 28, 2021

Continued from 9099. Allegation- Food Service is inadequate- Based on interviews, review of menu, and LPA observations during virtual tour of the facility, LPA learned the following: LPA observed that the facility has food carts to keep the keep food warm while delivering residents food. LPA interviewed staff and residents who confirmed that food seems to be adequate. LPA observed the facility menu and food was of quality and in the quantity necessary to meet the needs of the residents, as required by regulation. Therefore this allegation is UNSUBSTANTIATED. Allegations- Staff are not calling 911 in a timely manner and Management is asking the staff to falsify medical documentation to the paramedics- LPA interviewed staff and Administrator, reviewed documents and police service calls to this facility and was unable to verify these incidents. The complainant was unable to provide LPA with any witnesses to these events. Therefore this allegation is UNSUBSTANTIATED. Allegation- Staff are not trained to assist residents with medication- Based on interviews, a review of staff training records and five resident’s MAR’s LPA learned that all staff assisting residents were provided with medication training as required per title 22 regulations, therefore the allegation is UNSUBSTANTIATED. A finding for the above allegations are unsubstantiated meaning that although the allegation may have happened there is not a preponderance of evidence to prove that the allegation occurred. We have therefore dismissed the complaint. Exit interview conducted with Administrator Kathy Neeser. LPA sent copy report to Kathy Neeser for signature. No deficiencies cited. Continued from 9099 Allegation- Staff are not answering resident calls in a timely manner . Based on interviews with Staff and records reviewed, LPA learned the following: LPA conducted interviews with staff. 2 of 6 staff confirmed that they were unable to answer resident's calls in a timely manner at the time of complaint. LPA reviewed facility call log records (8/1 -8/31/2020) Call log records indicate that on 88 occasions, facility staff took an excess of 20 minutes or longer to respond to residents’ calls. Per Administrator the expectation is that staff respond within 7-10 minutes of the resident’s call. Therefore, this allegation is SUBSTANTIATED. Allegations- Staff are not meeting the needs of the residents and Staff are not assisting residents with incontinence. Based on interviews from staff and a review of five incontinent resident’s Physician Report’s (602), Staff Services Checkoff list and review of resident call logs the LPA learned the following: Call logs indicate that on 8/28/20 R2 waited in the bathroom for 16:18 minutes for staff to respond after they pulling the call cord. Then again on 8/17/2-20 R2 waited 55:45 minutes for staff to respond to call after pulling the call cord while in the bathroom. R2’s Physician’s Report confirms they’re in need of incontinence care. Therefore, the allegations are SUBSTANTIATED. Allegation- Staff are not assisting with administration of medication in a timely manner. Based on Interviews, Woodland Police Department Records, Resident's daily medication chart, and call button logs, LPA learned the following: It was alleged that an altercation occurred involving Staff (S1) and Registry Staff (RS1) on 9/15/2020. During confidential interviews, LPA learned that RS1 call for a PRN medication for resident (R4) using the facility walkie. S1 reported that they didn't hear multiple calls for medication for RS1, however multiple staff report hearing RS1 call for a medication technician to provide medication. Staff were unable to locate a medication technician. Based on review of call logs, R4 called for assistance to their bedroom, and carestaff responded 35 minutes later. The Medication logs reveal R4 was given their PRN medication, 1 hour after calling for assistance. Therefore the allegation is SUBSTANTIATED. Continued on 9099C Continued from 9099C Based on the above information provided the preponderance of evidence standard has been met, therefore the above allegations are Substantiated (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and or Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and appeal of rights provided. LPA sent copy report to Kathy Neeser for signature.