Complaint Investigation Report, 08/30/2022 — Vine Ridge Senior Living, Cloverdale CA

Resident Needs are not being met - Complaint alleges that resident needs are not being met including but not limited to a resident receiving a cold meal after staff forgot to deliver their dinner and a resident not receiving assistance with their activities of daily living. Per complaint, a resident was given a cold omelette after staff forgot to bring them their dinner. Interviews indicated that staff did forget to bring the resident dinner but denies giving them a cold omelette stating that they did heat it up. LPA observed around 2:00pm on August 19, 2022 that a resident's lunch was sitting on their counter in their apartment. Per LPA conversation with resident, they were unaware that their lunch had been dropped off. Discussion with kitchen staff indicated that they were unaware that resident needed to be notified that their meal was there. Interviews and review of resident care plan revealed that resident receives assistance with dressing, putting on and taking off their hearing aids and getting assistance with their morning and night routines but per interviews, this does not always happen resulting in hearing aids not being charged, resident sleeping in their compression socks and resident sleeping in their chair instead of in bed. Interview and review of care plan indicated that resident also needs assistance with coming down to meals. Per interviews, caregivers do not always bring resident down. Some interviews indicate that resident initially refuses to come down to meals but can usually be persuaded.

The allegations that facility has Insufficient Staffing and Resident needs are not being met is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.