Complaint Investigation Report

Allegation: Staff did not ensure resident had clean clothing

Based on interviews and record reviews which were conducted, former ED confirmed with LPA during visit that residents are not being assisted in a timely manner, resulting in medication, feedings, showers, diaper changes and ADL being done late or not at all due to insufficient staffing. These concerns/ statements were communicated by staff, residents and residents’ family members. The preponderance of evidence has been met. Therefore, this allegation is substantiated.

Allegation: Resident was left in soiled clothing for an extended period of time

Based on interviews and record reviews which were conducted, former ED acknowledged with LPA during visit that staff response time was an ongoing problem resulting in residents not being changed in a timely manner or not at all, getting residents up late, not receiving their scheduled showers and not getting their medications on time. ED reported having difficulty hiring staff because of limited applicants. The preponderance of evidence has been met. Therefore, this allegation is substantiated.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted. Appeal Rights and a copy of this report provided.