Complaint Investigation Report

It was alleged that staff are restraining residents in care by use of bedrails. The complainant alleged that 3 (three) residents are restrained by bedrails. LPAs observed full bedrails on Resident 1 (R1)’s bed at 10:22AM, half-rails on Resident 2 (R2)’s bed at 10:33AM, and half-rails on Resident 3 (R3)’s bed at 10:35AM. R1 is not on hospice and does not have an order for full bedrails; R2 and R3 do not have physician’s orders for half-rails. LPAs did not observe bedrails on Resident 4 (R4)’s bed at the time of the visit. Based on LPAs’ observation and record review, the allegation “staff are restraining residents in care by use of bedrails” is deemed SUBSTANTIATED at this time.

It was alleged that staff do not afford privacy to residents in care. The complainant alleged that the facility uses surveillance cameras in common areas where residents use personal computers and where meetings of resident and family groups occur. During physical plant tour, LPAs observed cameras throughout the common areas of the facility that are used for family visits and computer use. During administrator interview, it was confirmed at 12:01PM that the cameras have an auditory component and save short recordings with audio when movement is detected. Based on LPAs’ observation and interviews, the allegation “staff do not afford privacy to residents in care” is deemed SUBSTANTIATED at this time.

The following deficiencies were observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiencies may result in civil penalties.