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32 | Based on interviews, eight out of nine residents and ten out of ten staff denied the allegation that due to lack of staff, facility did not respond to the resident’s call timely, while one resident claimed due to a lack of staff, facility staff did not respond to the resident’s call timely.
S2 states the Nocturnal (NOC) shift is from 10:30 PM to 7:00 AM with 3 caregivers and 1 medication technician. The facility has three units: Unit 1 (Memory Care) has two staff, Unit 2 (Assisted Living Wing 2) has one staff, and Unit 3 (Assisted Living Wing 1) has one staff. Residents in Unit 1 need two staff members because they need constant attention. One of the staff from Unit 1 are floaters to fill in for residents in Unit 2 and Unit 3 as needed. Unit 1 has 18 residents, Unit 2 has 20 residents, and Unit 3 has 33 residents. S2 states they have enough coverage for the facility because the residents are asleep at this time. S3 states the staff are expected to respond within 5 to 10 minutes of the call light pendant being pressed by the resident.
Based on interview, R1 stated they do not recall falling or needing assistance on the night of the incident. R1 also stated that if they needed help, then they would press the pendant. R1 said their pendant has never been broken and that staff would respond right away of pressing the pendant. At the night of the incident around 5:30 AM, S5 stated they were approached by two residents about R1 calling out for help. S5 went to R1’s room and tried to assist R1 off the floor but could not lift them up from the floor. S5 called 911 and emergency services arrived and assisted R1 to bed. Based on record review, Incident Report states staff responded at 5:30 AM and assisted the resident and called 911 at 5:36 AM. The Orange County Fire Authority (OCFA) report confirms that a call was received at 5:36 AM and they arrived at the facility at 5:42 AM Client refused to go to the hospital per Incident Report.
Based on LPA’s observation during the visit on January 22, 2025, staff responded timely to a resident’s call through the call button. A caregiver responded to the call and assisted the resident in their room within 2-3 minutes. Based on Information gathered, there is no sufficient evidence to corroborate the above allegation.
Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegation may have happened or are 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 was conducted and a copy of the report was provided to Assisted Living Waiver Program Director Rose Enriquez. |