Facility Evaluation Report

On 2/25/25 at 6:30, LPA Wolf Petersen arrived to conduct a case management related to the findings of a complaint. LPA met with administrator Monica Plowden by phone to explain the findings of a departmental report.

In interview, staff provided a statement that they were insufficiently following facility procedures and regulatory requirements to report the bruises and follow up with seeking medical attention.

In record review of the medical reports generated from the 10/28/25 visit related to bruising, R1 was diagnosed with both a uti and obstruction.

LPA gave guidance that staff should document changes in status, to include bruising. If its reasonable to suspect that physical abuse is occurring, the facility should be reporting to licensing, the ombudsman, and local law enforcement within 24 hours via an IR, telephone call and SOC341. If its reasonable to suspect medical attention is required, the facility should be arranging for medical care. Observation of resident and changes in mood, condition or functional ability should be reported to the physician and if necessary appropriate medical intervention sought in a timely manner. Having hospice does not preclude the licensee from seeking timely medical attention.

The Department is Requesting the 602, any Hospice Care Plan, and any Home Health Plan, for all residents currently in the facility. Provide to the lpa via email: noel.wolfpetersen@dss.ca.gov. 3/6/25

Citation(s) are issued, A copy of the report was read, appeal rights and the copy of the report was given to the administrator. An exit interview was conducted.