Complaint Investigation Report

Staff confine residents to their beds with use of other furniture. – SUBSTANTIATED

It was reported that staff will push the recliners in the rooms to the side of the resident’s bed to block the residents from getting out of their beds.

LPA reviewed Resident 2 (R2) LIC602 Physicians Report which states that R2 is non-ambulatory.

Administrator stated that two staff told her that a family member of Resident 2 (R2) told them to move a recliner at the top of R2’s bed to act as a guard rail to keep R2 from falling out of bed. Administrator explained to the family member that the facility cannot do this, it is against regulations and the family member said they understood.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to administrator Audra Audino.