Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation visit to note additional deficiencies that were found during the complaint investigation. LPA met with Narine Mertkhanyan and explained the reason for the visit.

On 8/25/23 LPA Flores initiated a complaint investigation. During the course of the investigation, it was found that Resident #1(R1) had a restricted health condition. R1’s physician’s report dated: 11/16/20 does not note R1 had dementia. However, on 6/19/23 upon R1’s hospitalization, the hospital noted R1 with dementia. Due to R1’s cognitive skills, R1 was not able to measure blood sugar and/or provide self with injections per regulations for restricted health conditions. During the same hospital visit of 6/19/23, it was found that blood test was highly elevated and “flagged as critical results.” Appraisal/Needs and Services plan dated 7/13/23 does not note any care for R1’s restricted health condition. R1 began receiving home health services on 7/14/23 and there are no records to indicate she was receiving them prior to that date. On 8/25/23 and 5/21/24 LPA conducted complaint investigation visits at the facility and did not find documents related to restricted health condition or provided documents upon request. Therefore, there are no records to indicate that R1 was receiving medication for restricted health condition or a plan to provide care for restricted health condition.

Deficiencies are noted on LIC 809D on per Title 22 Regulations.

Exit interviews was conducted with Cynthia Flores and a copy of this report LIC 809D, and appeal rights were provided.