complaint·March 21, 2024

Continued from 9099..... ****This is an AMENDMENT**** The following determinations have been made: LPA interviewed seven (7) of forty-seven (47) staff and fourteen (14) of (63) sixty- three residents and outside parties. It was discovered through interviews, that response times to call bells were reported to take anywhere from 10 minutes to “hours”. LPA reviewed a sample review of call bell records from 2/6/24, 3/9/24 and 3/16/24 from all three (3) shifts (AM, PM and NOC). Based on LPA’s review LPA found that on 2/6/24 there were over 128 requests for service: one (1) call took over one (1) hour to clear the call bell, six (6) took over thirty (30) minutes and twenty-two (22) calls took fifteen (15) minutes or longer to clear. On 3/9/24 there were 123 requests for service: one (1) call took over one (1) hour to clear, two (2) took over thirty (30) minutes to clear and fifteen (15) calls took over fifteen (15) minutes. Finally, on 3/16/24 there were 134 requests for service: two (2) took over thirty (30) minutes and thirteen (13) took over fifteen (15) minutes to clear. Interviews revealed that due to the long response times some residents were unable to get to the bathroom in a timely manner, left in soiled clothing, unable to get dressed and attend meals in the dining room, or unable to be re-position as needed . In addition, a review of the facility's Resident Handbook, page 2, item 4 Requesting Assistance, it states “If there is an urgent matter or health care emergency please use the emergency call button located in your room." Based on LPA observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D. Appeal rights given. 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.