Complaint Investigation Report

the resident’s personal rights. It was learned that this resident was beyond the level of care that could be provided by the current facility since this resident was unable to independently transfer or reposition in bed. It was learned that this resident required assistance with transferring and repositioning which was unable to be met by the current staff who were unable to properly physically assist this resident when needed.

Based on interviews conducted during the course of this investigation, it was learned that a resident, R1, was in need of oxygen. It was learned that the machine had to plugged in and turned on so that the resident could wear the mask to receive the oxygen. It was learned that on multiple occasions, the oxygen mask for the resident was not on her face while the machine was not turned on.

As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.