Interviewed Assistant Administrator denied the allegation. Assistant Administrator stated that R1 was admitted to the facility from the Dreier’s Nursing Care Center with the cellulitis of lower limb. R1 moved in with the Pacific Pace program who managed to coordinate and provide all needed preventive, primary, acute, and long-term care services and was followed by Welbehealth who managed R1’s transportation, medical coordination, Home health. Since R1s stay at Pasadena Villa, resident was on Home Health and received services for wound from West Coast wound and skin care. R1 was on the program from his move-in date until their exit date with nurses, doctors, case managers, and weekly visits. They did facility visits for R1 2 to 3 times a week with biweekly meetings and weekly medical appointments as needed. R1 was put on an additional service for wound care with West Coast Wound Care on 10/27/21 and continued the service until their exit date. LPA obtained and reviewed West Coast Wound Care records / progress notes details and observed that there was wound treatment plan for R1 and R1 was receiving wound care from the agency. There were no reports of maggots on R1’s wound. Assistant Administrator noted that R1 frequently refuses to take their medications and care, and would leave the facility without letting staff know, often disappears for days. Assistant Administrator stated that facility often was receiving calls from the hospitals informing them that R1 at the hospital. R1 used to go to the hospitals and ask for medications. Assistant Administrator stated that because of R1’s behavior, R1 often was placed on 5150 holds. LPA spoke with Social Worker from Glendale Adventist Hospital on 09/08/22 and find out that R1 was admitted to the hospital on 09/04/22 and was received treatment for bilateral leg cellulitis / wound. No other information was provided. According to the SOC 341 On 09/06/22, PD responded to the facility in regard to APS report. Report stated that R1 was admitted into the hospital for a leg wound and maggots in the wound. PD Officer toured the facility and inspected R1’s room. R1 was provided daily medications and medical treatments but R1 frequently leaved the facility and disappeared for days at a time. PD officer opinion was that R1 was a victim of his own self neglect. The information, record reviews and interviews did not support the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview conducted with Assistant Administrator and the copy of the report was provided.