Health inspection·October 30, 2024

The following reflects the findings of the California Department of Public Health during an investigation of a complaint and a facility reported incident. Health & Safety Code 1418.91(a) A long-term health care facility shall report all incidents of alleged abuse or suspected abuse of a resident of the facility to the Department immediately, or within 24 hours. A failure to comply with the requirements of this section shall be a class "B" violation. On 9/17/24, an unannounced visit was conducted at the facility to investigate a complaint regarding an allegation of financial abuse. Resident 1 was a 71-year-old female with diagnoses of Dementia (memory loss), Bipolar Disorder (a mental illness that causes extreme mood swings, affecting a person's energy, thinking, behavior, and sleep) Anxiety Disorder, Cognitive Communication Deficit. Based on interview, and record review, the facility failed to report an allegation of financial abuse for one of three sampled residents (Resident 1) within 24 hours to the California Department of Public Health (CDPH) and complete a thorough investigation within five business days. This failure had the potential for Resident 1 experiencing continued financial abuse. Findings: During an interview on 9/17/24 at 11:18 a.m. with Social Services Director (SSD), SSD stated she called Resident 1 ' s bank and stated she pretended to be Resident 1 in order to reset (change) her pin number. SSD stated, "Police Department [PD] came in last week or so, they pretty much just questioned who SSD and Administrator were. SSD stated on the weekends she [Resident 1] goes out with friends [unidentified] shopping." During an interview on 9/17/24 at 11:33 a.m. with Director of Nursing (DON), DON stated, "PD came in last week, they spoke to resident [1] first then spoke to SSD, it was in regard to credit card fraud [wrongful or criminal deception intended to result in financial or personal gain]." During an interview on 9/17/24 at 1:09 p.m. with SSD, SSD stated she did not report the allegation of financial abuse to the CDPH. During an interview on 9/17/24 at 1:15 p.m. with DON, DON stated she did not report the allegation of financial abuse to the CDPH. During an interview on 9/17/24 at 1:22 p.m. with Administrator, Administrator stated he assisted Resident 1 in contacting her bank to reset her pin number on a video chat, then he heard there was some abuse going on and he spoke to everyone involved, SSD was working with Resident 1 prior to him assisting her (Resident 1). Administrator stated he was in the building when PD arrived but left and was interviewed by PD over the phone. Administrator stated he did not report the allegation of abuse to the CDPH. Administrator stated he did not check her (Resident 1) financial statements or any personal information. Administrator stated he was made aware of the financial abuse allegation when PD arrived in the building on 9/11/24. During a review of the facility ' s policy and procedure (P&P) titled, "Abuse Investigation and Reporting", dated July 2017 the P&P indicated, "All reports of abuse, neglect, exploitation, misappropriation of resident property, mistreatment and/or injuries of unknown source ("abuse") shall be promptly reported to local, state, and federal agencies (as defined by current regulations) and thoroughly investigated. Findings of abuse investigations will also be reported. Reporting: 1. All alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of an unknown source and misappropriation of property will be reported by the facility administrator, or his/her designee, to the following persons or agencies: a. The state licensing/certification agency responsible for surveying/licensing the facility; 2. An alleged violation of abuse neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but no later than b. twenty-four (24) hours if the alleged violation does not involve abuse AND has not resulted in serious bodily injury." In violation of the above cited, the facility failed to report alleged abuse to the Department within 24 hours for Resident 1. This failure had the potential for alleged abuse to continue. This violation had a direct or immediate relationship to the health, safety, or security of residents and constitutes a Class "B" citation.