Complaint Investigation Report, 01/10/2024 — Hawthorne Terrace Care Home, LLC, Hawthorne CA

Allegation: Facility retained a resident with a higher level of needs.

It is alleged that facility retained a resident with a higher level of needs. On 1/31/2023 between 11:05 am - 1:30 pm, LPA interviewed two out of nine residents (R2-R3) and three out of six staff (S1-S3). Since R1 has already moved out of the facility, LPA attempted to conduct a telephone interview but R1 refused the interview. On 2/6/2023, LPA conducted a telephone interview with one witness (W1). Based on interviews conducted with two residents (R2-R3), three staff (S1-S3) and one witness (W1), the facility did not retain a resident with a higher level of needs. Based on records review, the department received an incident report about R1’s medical emergency on 1/17/23 but it does not indicate that R1 requires a higher level of care/needs when R1 returned to the facility on 1/18/23. LPA did not observe any residents requiring higher level of care. Based on information gathered, there is no sufficient evidence to corroborate the allegation above.

Allegation: Staff did not seek medical attention for resident in a timely manner.

It is alleged that staff did not seek medical attention for resident in a timely manner. On 1/31/2023 between 11:05 am - 1:30 pm. LPA interviewed two out of nine residents (R2-R3) and three out of six staff (S1-S3). Since R1 has already moved out of the facility, LPA attempted to conduct a telephone interview but R1 refused the interview. On 2/6/2023, LPA conducted a telephone interview with one witness (W1). Based on interviews conducted, two residents (R2-R3), three staff (S1-S3) and one witness (W1) denied that staff did not seek medical attention for resident in a timely manner. Based on records review, the department received an incident report about R1’s medical emergency on 1/17/23 which indicates that facility staff called 911 due to a medical emergency. Another incident report was submitted to the department regarding R1’s medical emergency on 1/23/23 and 911 was called. LPA did not observe any medical emergency during the visit. Based on information gathered, there is no sufficient evidence to corroborate the allegation above.