For Allegation 1 – Facility served resident with an inappropriate eviction notice. The interviews with Executive Director and Director of Health services both agreed that the eviction notice they gave R1 was legal and gave R1 and R1’s conservator the required 30-day time frame. Per the eviction notice, R1 should have left the facility by 04/24/22, but they have since rescinded the order, after having a meeting with all concern parties and coming to a mutual beneficial agreement. R1’s conservator will hire a 1:1 care giver for R1, to help R1 avoid wandering and/or eloping from the facility. LPA reviewed eviction notice dated 03/24/22, it was within Title 22 requirements. Interviews with S3-S8, they had no knowledge of any eviction notices given to any residents. Interviews with R1 – R8, they had never received an eviction notice or no knowledge of any residents receiving one. The interviews and records reviewed did not concur with the above allegation.

Allegation 2 - Staff do not notify responsible party of resident's change in condition. The interviews with Executive Director and Director of Health services both agreed that R1 mental condition has deteriorated and R1 should be transferred to the Memory Care Unit, her physician’s report stated that R1 has Dementia, R1’s mental condition did not change, it just progressed. It has gotten worse, R1 now wanders and has eloped from the facility which poses a personal risk for R1. R1’s conservator is aware of R1 mental condition but denies R1’s progression and refuses to admit R1 to the memory care unit. LPA reviewed R1’s facilities assessment dated 01/20/22, physician’s report dated 08/10/20, and Care questionnaire dated 12/21/21. The records reveal that R1 was diagnosed with dementia and does need a lot of assistance with ADL’s and cannot recognize where R1 is. LPA’s Interview with R1, indicated that R1 dementia might have progressed. R1 could not answer any questions LPA asked R1. R1 kept looking out the door’s windows and avoiding LPA. R1 would just brush off R1’s clothing and legs and kept looking out the door’s windows and kept quiet. Interviews with S3 – S8, stated that R1 does need a lot of help with ADL’s and now R1 has a 1:1, which R1 does need, R1 tends to wander. Interviews with R2 – R8, stated that they have never had any medical changes in where their RP were not notified. The interviews and records reviewed did not concur with the above allegation.

Allegation 4 - Staff do not assist resident with grooming. Interviews with Executive Director, Director of Health Services, S#3 – S8, they all agree that all the resident’s that require help with grooming. Staff assist the residents with their: hair, nails, dressing, shoes, and diapers. Interviews with R2, R3, R4, R5, R7, & R8, they do not require assistant with grooming, they take care of their own grooming needs. Interview with R6, the staff help R6 with his grooming and the staff is always helpful. R6 also has a home health care giver that help R6 with that task. Interview with R1, could not understand and avoided LPA. LPA reviewed R1’s assessment dated 01/20/22, R1 get assistance with grooming daily. The interviews and records reviewed did not concur with the above allegation.

Allegation 5 - Staff did not assist resident with obtaining medical care. Interviews with Executive Director, Director of Health Services, S#3 – S8, they all agree that all the resident’s that require medical assistance always receive the medical care they need. Interviews with R2, R3, R4, R5, R7, & R8, they have not required any type of medical assistant, but they assume they would get it, if they ever needed it. Interview with R6, R6 had needed to go to the E. R. on multiple occasion and the staff has always called 911 for R6. R6 also has a home health care giver that helps R6 with calling or advising staff when medical help is needed. Interview with R1, could not understand and avoided LPA. LPA reviewed R1’s medical progress notes dated 04/08/22, R1 received medical attention from Home Health Nurse for a medical incident that occurred. Facility staff called Home Health for R1. The interviews and records reviewed did not concur with the above allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated

An exit interview was conducted with Britanny Buchanan, Executive Director and a hard copy was provided. signature.