Senior Care Records.

Complaint Investigation Report

Westminster Gardens, Duarte03/08/2024Licence 197605591

Census177
Date signed03/08/2024 02:10:39 PM
Name of licensing program analystNoemi Galarza
Name of licensing program managerLisa Hicks
The inspector’s account

Allegation: Residents are being bullied while in care. It is alleged that the sales team staff were bullying residents into considering a move into the Memory Care Unit. Based on interviews conducted, all eight (8) staff denied the allegation and stated that residents are explained the advantages of living in each of the CCRC areas, as well as level of care services and ultimately it is the resident's choice. According to staff interviews, discussion about the possibility of moving into the Memory Care Unit is based on their annual appraisal and any change in condition. Per staff interviews, if there is a change in condition the Care Team meets and a Care conference is held with resident and family member and/or authorized representative to discuss options. In resident (R1's) case, the resident was temporarily placed in the Bridge Care program per family request due to increased weakness. Staff stated the Director of Wellness assessed R1 based on the level of care needed during their stay in the Bridge Care program. At that time, an updated Physician's Report had not been provided to the facility, therefore the facility administered a MOCA assessment and R1's spouse initially agreed to moving the resident in to the Memory Care unit but backed out. One (1) family member was interviewed and reported that the staff team did not bully them into placing their loved one in the Memory Care Unit. A total of 10 residents were interviewed, and only 2 residents said they felt pressured "bullied" about moving their partners into the Memory Care Unit. The department was unable to obtain evidence to support this allegation.

Allegation: Staff yell at the residents while in care. It is alleged that the facility's Sales Representative often screams and yells at residents when approached with questions. A total of eight (8) staff were interviewed of which all denied the allegation. The Sales team staff stated that all residents are treated with dignity and respect and are never yelled at. Sales Representative (S5) stated they do not yell/scream at residents, and that on the contrary residents say to staff the voice tone is too soft spoken. Staff (S5) stated that they do speak in a louder voice tone with hard or hearing residents, and there are some staff that have a naturally louder voice. However, staff stated that they have never yelled at residents (R1 & R2). No staff reported hearing other staff yell at residents. A total of 10 residents were interviewed, of which one (1) resident stated that Sales staff yell at residents. One (1) resident's family member was interviewed and reported no knowledge of the allegation, and stated that they have observed good staff treatment towards residents. There is insufficient evidence to corroborate the allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated .

An exit interview was conducted with Wellness Director Sev Tienda and a copy of the report was issued.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction