Complaint Investigation Report

On 04/22/2024, from 11:47am to 4:30pm, Licensing Program Analyst (LPA), Esther Cortez conducted the unannounced initial complaint visit. Upon arrival LPA Cortez met with the administrator Lori McKay and owner Lito Vitug and explained the reason for the visit. Between 12:00pm and 4:30pm the LPA toured the physical plant with the administrator, interviewed three (3) staff, conducted a file review and obtained copies of pertinent documents relevant to the investigation. The LPA determine further investigation was required. The administrator and staff were advised that a referral was submitted to Community Care Licensing Division (CCLD) Investigations Branch (IB). During today's visit LPA Cortes conducted staff and resident interviews, and obtained copies of pertinent documents relevant to the investigation.

On 06/04/2024, from approximately 10:30am to 12:20pm, Investigator Real conducted interviews with the administrator and staff; on 06/11/24, from approximately 11:00am to 12:20pm, with residents; on 07/15/2024, at approximately 12:00pm, with R1’s resident representative; and on 07/22/2024, from approximately 10:30am to 2:25pm, with Corinthian Health Care Services, Inc. home health office manager and nurse. In addition, the investigator reviewed Sherman Oaks Hospital medical records, Corinthian Health Care Services, Inc. home health records, and facility file documents pertinent to the investigation.

A review of R1’s physician’s report, dated 11/09/2023, indicated R1’s primary diagnoses was listed as history of sepsis, urinary tract infection, and pneumonia. The report indicated R1 had mild cognitive impairment, was able to follow instructions as well as communicate needs, R1 could leave the facility unassisted, dress and eat on their own, was able to transfer to and from bed independently and was identified as ambulatory.

A summary of R1’s home health records obtained from Corinthian Home Health revealed R1 was placed on Corinthian Home Health Services on 02/02/2024 and was discharged on 04/01/2024 due to R1’s hospitalization. According to the records, R1 presented as alert & oriented, who received minimal to moderate assistance to perform activities of daily living (ADLs) safely, medication and meal preparation. R1 was recently discharged from Sherman Way Village Center (skilled nursing facility) related to a urinary tract infection (UTI) and weakness. R1 was admitted to Corinthian Health Care Services for RN assessment, medication, recon, pain management, fall precautions, and home safety. Skilled nurse performed evaluation and assessment of vital signs and overall body systems. The records indicate R1 used a walker for ambulation. Report will continue on LIC9099-C 3rd page.