Complaint Investigation Report

LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegations. One staff member stated that staff would enter resident’s room in the early morning hours after knocking on resident’s door to administer resident’s medication. Staff stated staff were asked by resident to enter resident’s room to administer resident’s medication in the early morning hours. One former staff member stated that the facility was instructed by the resident to enter resident's room and administer resident’s medication in the early morning hours. Staff stated resident would change mind often and get angry at staff if staff did not administer resident’s pain medication during the middle of the night. LPA interviewed ten (10) residents and nine (9) of (10) residents could not corroborate the allegations. There is not enough evidence to substantiate this allegation.

Allegation: Staff did not provide resident with 30-day eviction. It is alleged that facility illegally evicted resident from facility.

Resident has resided at Savant of Alhambra since 12/11/2024. On 10/09/2025 resident was allegedly angry and threatening staff. Staff called the Los Angeles County psychiatric team and was sent to Los Angeles Downtown Medical Center and placed on a 5150 psychiatric hold. A few days later a staff member was sent to skilled nursing facility (SNF) (Green Acres) to reassess resident to admit resident back to facility and staff determined resident required a higher level of care. On 10/28/2025, staff went to the SNF per resident’s request to provide resident’s personal belongings. During the visit, resident signed Acknowledgement of Discharge form dated 10/28/2025. That document shows resident vacating self from facility while acknowledging receipt of resident’s belongings. A staff member stated that the SNF could not accept the belongings of resident due to space and facility took resident’s belongings back to facility and then to storage facility. On 01/09/2026, resident’s relative acknowledged all of resident’s remaining belongings were received and signed a document dated 01/09/2026. Resident has remained at SNF since resident was placed on 5150 holds back on 10/09/2025. At the time of this report, the resident continues to reside in the SNF. This is evidence that the resident requires higher level of care. The evidence shows that facility cannot readmit resident since resident requires higher level of care. This is also documented by resident's doctor. There is not enough evidence to substantiate this allegation.

Allegation: Staff did not provide resident with records. It is alleged that facility will not provide resident’s X-ray images taken of his ankle and leg. (continued on 9099C)