Complaint Investigation Report

shower 2 days ago. During this LPA’s visit on 10/12/23, LPA observed R6 barefoot and confused wandering the lobby, speaking softly stating that they were cold. LPA brought the Administrator out to assist R5. LPA observed long uncut toenail that were curling under. LPA took a photo for reference and brought the resident’s hygiene needs to the attention of the Administrator. The Administrator replied, “That resident has dementia and is on hospice.” This LPA reminded the Administrator that they should then call hospice and make arrangements for this resident’s care. On 10/19/23, LPAs Viarella and Valerio observed another resident with long uncut toenails that had begun to curl downward. LPA Viarella took a photo for reference. Based on observation and interviews, the preponderance of the evidence standard has been met and the department found the allegation, “Staff are not ensuring that residents' hygiene needs are being met while in care,” to be SUBSTANTIATED.

Regarding: Staff do not ensure that residents are provided with adequate bedding while in care.

On 11/15/23 Licensing Program Analyst (LPA) Kimberly Viarella and Licensing Program Manager (LPM) Stephen Richardson made an unannounced visit to this facility to continue this complaint investigation. This LPA interviewed 7 staff members and 6 residents. All stated that there was enough bedding, and if a resident requested additional linens or blankets, the facility had an adequate house supply on hand to meet any requests. LPA/LPM inspected the House supply and found that the facility only had 5 blankets in reserve. If anything were to happen to the heating system, or if there were a particular cold front or emergency situation, there would not be enough bedding for the residents in care. The preponderance of evidence standard has been met and the department found this allegation to be SUBSTANTIATED.

Regarding: Staff do not prevent resident(s) from abusing other resident(s) in care. During this LPA’s 3 separate visits on 08/09/23, 10/12/23, and 10/19/23, this LPA did not observe any resident conflicts or aggression. However, during the course of this investigation, this LPA learned that on 10/04/23 the Modesto Police responded to an incident of battery involving 2 residents. The police report also stated that “this is an ongoing issue with the same suspect at Vintage Faire.” The preponderance of evidence standard has been met and the department found this allegation to be SUBSTANTIATED.

Regarding: Staff are not ensuring that residents' diapering needs are being met while in care.

LPA found this facility to be malodorous on 08/09/223, 10/12/23, and 10/19/23.