Complaint Investigation Report

LPA spoke with S1 who assists R1. S1 states that R1 is not able to adjust or move by thyself while in bed and needs assistance. LPA also contacted the nurse practitioner that signed the physicians report that lists R1 as non-ambulatory. The nurse practitioner stated that R1 is not able to adjust or move by thyself while in bed. The nurse practitioner stated that they changed R1 from bedridden to non-ambulatory because they observed R1 able to sit up unassisted in a wheelchair. LPA explained that for fire clearance if a person requires assistance with turning or repositioning in bed they are to be deemed bedridden. The nurse practitioner said that they did not know that and that they will update the physicians report back to bedridden.

Facility located a SNF for R1 to go to and has arranged transport for 8/16/2024. R1 is scheduled to move to Marina Garden Nursing Center in Alameda.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.