Complaint Investigation Report

Orientation Checklist (dated: 12/01/19), Medication Administration Staff Training (dated: 12/01/19), Register of Facility Residents LIC 9020 (dated: 08/24/22 & 04/29/24) and Personnel Report LIC 500 (dated: 08/26/22).

Allegation #1: Facility staff are not following residents' care plans.

It was alleged that the facility staff are not following (R1’s) care plans.

A review of resident #1 (R1’s) Identification and Emergency Information LIC 601 (dated: 07/13/22) and Admissions Agreement LIC 604 (dated: 07/13/22), revealed (R1) was admitted to Amor Vida Care on 07/13/23 and voluntarily terminated residency on 08/23/22.

On 8/29/2022, between 09:00 am – 5:00 pm, (LPA) Montoya interviewed (3) out (3) staff #1-#3 (S1-S3) who denied that facility staff are not following residents’ care plans. (S1-S3) revealed that staff followed (R1’s) plan of care which included bathing/showering, dressing, transition in and out of bed or wheelchair, walking, use of toilet or diaper change, eating and taking medications.

On 8/29/2022, between 09:00 am – 5:00 pm, (LPA) Montoya interviewed (1) out (5) resident #2-#5 (R2-R5). (R2) stated staff followed (R2’s) plan of care and the staff bathe (R2) three times weekly. (R3-R5) were not available for an interview and unable to obtain statement from the three residents.

On 04/30/24, between 04:00 am – 5:00 pm, (LPA) Ernand Dabuet attempted to interview resident #3-#5 (R3-R5). A health condition limits (R3-R5’s) ability to carry a full conversation or make a full statement.

(LPAs) Montoya and Dabuet attempted to interview resident #1 (R1) on 08/29/22 and 04/30/24, who no longer resided at the facility. (R1) did not provide a forwarding contact information and unable to obtain a full statement.

A review of (R1’s) service records, (R1) had no history of skin breakdown and current medical assessment does not indicate any skin rashes or bed sores which supports that staff did not fail to follow (R1’s) care plan. (LPA) Montoya observed during the investigation that residents are provided with proper care by staff. Based on gathered information, there is no sufficient evidence to corroborate the allegation above.

Allegation #3: Resident's diaper is always found wet and not being changed.

It was alleged that (R1’s) diaper is always found wet and not being changed.

On 8/29/2022, between 09:00 am – 5:00 pm, (LPA) Montoya interviewed (3) out (3) staff #1-#3 (S1-S3) denied that (R1's) diaper was found wet and not being changed. (S1-S3) revealed (R1) is monitored by staff every two hours during the day and every two to three hours during the night or as required. (R1’s) diaper is changed when wet statements made by (S1-S3).