Complaint Investigation Report

Interviews revealed that the caregivers are responsible for ensuring water is always available for the residents and encouraging them to drink water. Staff would give R1 their medication in the dining area during breakfast and lunch. R1 always requested a glass of water to take their medications. Interviews revealed several staff members would always make water available to R1 and encourage them to drink it during their visits. However, R1 did not like water and would often refuse. Interviews revealed a cup of water was kept on a night stand next to R1’s bed. R1 in addition to water was also provided Ensure protein drinks several times a day to supplement for their lack of fluid intake and juice during meals. Interviews revealed that R1 liked Ensure and they normally finished the drink when it was provided to them. After a review of Medical Records from Sharp Memorial from R1’s visit on 7/23/2020, there was no indication/mention of dehydration. Dehydration was first reflected in Scripps Green Hospital medical records after R1 was transferred on 7/24/2020. Interviews with outside sources stated they did not believe facility staff would be able to adequately evaluate a resident for dehydration due to their lack of training. The allegations of staff neglected resident resulting in a urinary tract infection and neglect/lack of care and supervision by facility staff resulting in dehydration is unsubstantiated.

Based on the evidence obtained from interviews, and records review, the complaint allegations are unsubstantiated. An exit interview was conducted with Liz Najera, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.