Complaint Investigation Report

392700109-6-23-2025-27-AS-LRIS-DHZTMA-20250626145049

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

03/11/2025 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20250311135925

Staff will not accept resident back after hospital discharge

Licensing Program Analysts (LPAs) Albert Johnson and Ellen Lindstrom conducted an unannounced facility visit to delivery findings. LPA met with Staff and explained the purpose of today's visit. Later joined by Dr. Zubiate.

Based on the information received by the department. R1 was discharged from the facility and referred to another facility for ongoing psychiatric evaluation, medication adherence and stabilization. The hospital discharged R1 to a skilled nursing facility. The Delta Sherwood was unable to excepted R1 back due to the discharge plan written for R1 to be sent to a skilled nursing facility.

Although the allegation may have occurred as reported there was insufficient evidence to prove the allegation. The preponderance of evidence standard was not met therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report with appeal rights was given to Licensee.