Complaint Investigation Report

336400075-9-18-2023-18-AS-RSTS-CXYTJK-20231127134629

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/14/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230914111750

Robert Stansbury, Senior Executive Director

April Princesa, Assistant Executive Director

Residents are being illegally evicted from the facility.

On 9/18/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Senior Executive Director, Robert Stansbury and Assistant Executive Director, April Princesa who were informed of the purpose of the visit. During the investigation, staff, and resident were interviewed, resident’s file was reviewed.

Regarding the allegation “Residents are being illegally evicted from the facility”, it was alleged resident one (R1) is illegally being evicted. Resident was interviewed, interview revealed resident has a pressure wound on left heel. Resident stated Home Health nurses visit two to three times a week to care for the wound. Staff was interviewed who denied resident is being evicted illegally. Staff stated resident has an unstageable wound and resident is not on hospice. Staff stated resident was advised to temporarily go to skilled nursing to have the wound treated or at least have the wound under control, but the resident and the resident’s responsible party (RP) refused. Staff stated resident was assessed and it was determined resident needs a higher level of care. Staff stated a 30-day eviction notice was issued to resident due to resident’s unstageable wound. Resident’s file was reviewed and revealed resident has an Acute Unstageable Pressure Injury.

Based on interviews with staff, and resident and a review of resident’s file, there is not enough evidence to support the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Robert Stansbury.