Administrator confirmed that during a town hall there was discussion of closing the dining room at 630pm versus the scheduled 7pm. Administrator stated they have done a census and have noticed that not many residents dine after 630pm. On average 2-3 residents are in the dining room on 1-3 days of the week. Facility tour and records reveal the dining room hours are currently from 7am to 7pm. It was discussed to change from 7am – 630pm. Either scenario of dining hours is within the regulation of: Not more than fifteen (15) hours shall elapse between the third and first meal. Although the facility has not changed the hours to close 30 minutes prior to original schedule, reduction of the hours does not violate the regulation requirements.

Therefore, the allegation that the facility has reduced the hours of mealtimes is unsubstantiated.

It was alleged that the facility is not providing transportation for the residents in care.

Interviews conducted and records reviewed confirm that residents are provided transportation. Administrator confirmed the facility did not have a regular bus driver on site but recently hired a new driver. Administrator stated the facility provided alternative transportation via Lyft and Uber. Records reviewed confirm the facility process of which the residents would request for transportation, the facility confirming scheduled transportation, and the proof the facility paid for the transportation. Interviews conducted added that if the residents did not want to take Uber or LYFT, they would schedule Vantage Transpiration (Medical transportation). Residents also were offer Tracy Tracer bus passes if the resident prefers the bus. The facility has a company car which is driven by authorized driver, Nis Cisneros (S3) and Lisette Morera, Resident Coordinator (S4). The residents had multiple options for transportation that was provided by the facility.

Therefore, the allegation that the facility is not providing transportation for the residents in care is unsubstantiated.

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It was alleged that the facility is not meeting the needs of residents in hospice care.

LPA reviewed Hospice visit Care narratives, residents facesheet, and LIC 602s. Records reviewed of Hospice visit care narratives show hospice following the residents’ physicians orders. LPA attempted to interview 5 of the 6 residents in hospice. Residents in care are not reliable historians. Interviews conducted with 4 staff stated there has not been any concerns on the care that the residents in hospice are receiving. LPA toured the facility specifically Memory Care and observed residents in hospice to be well cared for. LPA observed 3 caregivers in Memory care, LPA observed Caregivers providing incontinent care for resident. LPA observed residents in community area socializing with one another, 2 residents engaged in a puzzle, 5 residents watching television, 2 residents getting ther hair combed, 1 resident eating lunch and 2 residents conversing with one another. Residents’ rooms are clean and do not show any signs of wear or odors. Residents rooms had many perosnal items making it their own place. Residents are well groomed, properly changed, and smell of recent bathing. .

Therefore, the allegation that the facility is not meeting the needs of residents in hospice care is unsubstantiated.

Based on information provided through interviews and records reviewed, these allegations are deemed UNSUBSTANTIATED, meaning that there was not a preponderance of evidence to prove or disprove that the allegation occurred as reported.