Complaint Investigation Report

The facility’s Admission Agreement template from 2010 in the facility file in the Sacramento CCLD office, identifies: Level Four- Extensive Assistance . Resident requires extensive assistance for personal care, bowel and bladder management, and health care monitoring. Behavior may be unpredictable and continual orientation and cueing may be needed for all basic functioning. Housekeeping and laundry needs may be more than daily. All services in Levels One, Two and Three would be required;

Level Three- Moderate assistance. Resident's needs are more intense and include moderate assistance in activities of daily living as well as constant supervision and moderate assistance for dressing and bathing. Medication administration assistance may be more complex, and health monitoring may be as often as daily (e.g., blood pressure checks). Physical assistance in preparation for and during transports outside the

facility may be necessary. Physical assistance and escort to the dining room and constant cueing and assistance during mealtimes would most likely be needed. Tray services may be used frequently. Laundry and housekeeping services may be required daily. Resident may require regular assistance in bowel and bladder

management. All services included in Levels One and Two would be required; and

The DAR provided to the investigating LPA contained approximately 835 pendant calls for the week or 2/11/24-2/18/24 in Assisted Living. Of the 835 calls, LPA found that approximately 177 responses exceeded 20 minutes. Given the content of the complaint allegation, LPA then reviewed information for 2/15/24, Hall 1, and found that there were 16 call responses exceeding 19 minutes and 50 seconds. 10 of the incidents, in Hall 1 on 2/15/24, occurred on the AM shift and 6 on the PM shift. Of the residents impacted by call response delays, 4 were designated as Level Three and 1 was Level Four.