Complaint Investigation Report

The facility provided a letter from 5/1/2023 identified as "2023 rate adjustments." This form was not signed by the residents or the responsible parties. The facility did not identify what number would constitute excessive use of tray service and failed to update the service plan to address the incur cost for tray service. R1 was billed for tray service on 4/23/23, this is the only record of this service and does not appear to be excessive.

R2 was billed for tray services on 12 occasions and 2 extra dinners from 12/18/2022 to 12/16/2023, totaling $300.00 dollars. The facility did not re-access R2 to determine if there was a change in service need. The facility was made aware by R2 that Staff/Waiter in the dining room continued to have conflict with him for an extended period of time. This is documented in the care notes for R2. The facility has recently terminated the Staff that was reportedly harassing R2.

The allegations are SUBSTANTIATED. A finding of substantiated means the preponderance of evidence standard has been met.

Deficiencies are being cited from the California Code of Regulations (CCR) and Health and Safety Code (HSC). Failure to correct deficiencies may result in the assessment of civil penalties.

An exit interview was conducted and a copy of this report and appeal rights were given.