Interviews conducted indicate that Resident R1 was not dehydrated when they arrived at the hospital on 10/24/2022. Interview conducted with Memory Care Director indicated that staff encouraged residents to stay hydrated and reminded residents to drink fluids when checked on every two hours. Records reviewed indicate that when R1 arrived at the hospital, there was no documentation that showed R1 was dehydrated. Medical records reviewed indicate that R1’s hydration was considered a normal level. Based on interviews conducted and records reviewed, the allegation is unsubstantiated.

Staff did not ensure resident was fed, resulting significant weigh loss.

Interviews conducted indicated that R1 had been refusing to eat. Staff saw R1 in the dining area often and encouraged R1 to eat and drink liquids to keep up R1’s strength. Review of R1’s medical records indicated that R1’s nutritional levels were normal when R1 was admitted to the hospital. Based on interviews conducted and records reviewed, there is no evidence that staff did not ensure resident was fed, therefore the allegation is unsubstantiated.

Staff left resident soiled for extended periods of time resulting in resident sustaining a UTI.

Interviews with staff indicated that residents were checked every two hours. In review of medical records, In review of records, R1 had a history of UTI diagnosis which both the facility staff and R1’s physician were aware of. Interviews conducted and records reviewed show no evidence that staff left resident soiled for long periods of time therefore the allegation is unsubstantiated.

Staff do not have adequate staffing to meet resident's needs.

Interviews conducted and documents reviewed indicate that the facility has adequate staffing to meet the needs of the residents in care. Staff are able to check on residents in care every two hours to ensure their health and safety. Based on interviews conducted, the facility had adequate staffing to meet the needs of residents in care therefore the allegation is unsubstantiated.

**Report continued on 9099-C2 page**

Interviews conducted indicated that staff followed COVID-19 guidelines. Staff and residents were regularly tested in the facility and staff followed procedures when any resident tested positive. Records reviewed indicated facility followed COVID-19 guidelines and adapted as guidelines changed. Based on interviews conducted and records reviewed, staff followed COVID-19 guidelines.

Licensee was advised a copy of this report will be sent via certified mail. Two copies of this report will be sent. The Licensee is to sign and return a copy to the Orange County Regional office.