Complaint Investigation Report

LPA Pascua did not observe ash trays, or indication that he was smoking cigarettes inside his room. LPA Pascua did observe an area on the back patio with an ash tray that facility staff says is the designated smoking area. Based on interviews and LPA observation it is unclear if the facility allows residents to smoke in their room.

Allegation: Staff are not practicing safe food storage and preparations.

LPA Pascua observed that perishable food located in the refrigerator are dated and labeled based on when the facility bought the items. LPA Pascua interviewed 4 staff members, 4 out of 4 staff members stated that they label the food based on when the facility bought the items and will follow the first in and first out method when preparing food for the residents. 4 out of 4 staff members state that they defrost any frozen protein in the refrigerator with plastic wrap over it away from any other food. 4 out 4 staff members state that as soon as the residents are done eating, left over food will be placed in the refrigerator or thrown away. LPA Pascua also interviewed 3 residents. 3 out of 3 residents state that they have not seen any issues with their food and enjoy the food that is cooked for them. 3 out of residents state that their food has never been moldy or in state where it cannot be eaten. Based on interviews and LPA observation it is unclear if the facility is not practicing safe food storage and preparation at this time.

Allegation: Staff are unable to communicate with residents due to language barrier.

Based on staff interviews, 4 out of 4 staff members state that they believe that they are able to communicate with the residents efficiently. 1 out of 4 staff members state that one resident is known to mumble and may as for them to speak up or speak slowly in order for them to understand the resident. LPA Pascua also interviewed 3 residents. 3 out 3 residents state that they do not have any issues communicating with staff about their needs. During LPA Pascua's visit, LPA Pascua did not observe communication issues between residents and staff. Based on interviews and LPA observation it is unclear that the staff is unable to communicate with the residents based on a language barrier.

Allegation: Staff are not keeping an adequate medication record for residents.

Based on an interview with Facility Designated Administrator, Dorris Woodruff, it was learned that R1 was diagnosed with Diabetes but was able to handle his medication on his own. FDA Woodruff stated that R1 denied any help from the facility to remind them of taking the medication. FDA Woodruff stated that the facility prepared a Medication Administration Record for the resident in case that they needed it. FDA Woodruff also stated that she spent time with R1 to explain the importance of ensuring that they take their medication daily.