Facility Evaluation Report

On 05/05/25 Licensing Program Analysts (LPAs) Pang Lee and Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPAs met with Administrator Caleb Summerhays and Health Service Director Katelyn Flores and explained the purpose of the visit. The purpose of the visit is to follow up on deficiency learned during complaint investigation control number # 27-AS-20241118154836. The current census is110.

Through the complaint investigation, it was learned that Resident 1 (R1) was undergoing dialysis treatment at Davita Dialysis Center. R1 had scheduled dialysis appointments on the following dates: 12/07/23; 12/09/23; and 12/12/23. All three appointments were missed. According to facility protocol, if a resident refuses to attend their third dialysis appointment, the Medication Technician (Med Tech) is required to call 911 to have the resident transported to the hospital. Facility staff did not follow this protocol when R1 missed more than two dialysis sessions. Resident Care Coordinator Leslie Padilla and Nurse Melina Dearing both confirmed that Med Tech (PD) was instructed to send R1 to the hospital on December 12, 2023. However, Med-tech did not do so; therefore, the facility did not seek timely medical attention to R1.

The following deficiency were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. The deficiency can be found on the 809-D page. An exit interview was conducted, and a copy of the 809 report, 809-D page, and appeal rights were given to the facility.