Aldersly

COMPLAINT INVESTIGATION REPORT

The inspection found several deficiencies related to medication management procedures. Specifically, issues were noted regarding the central storage and security of medications, as well as improper preparation timing for noon medications. All cited deficiencies were classified as Type B, indicating potential but not immediate health or safety risks.

The facility was inspected for its 1 Year Required Visit and was found to have one significant deficiency. The primary finding relates to delayed response to a resident fall, which constitutes an immediate health and safety risk. Corrective action is required regarding staff response protocols for resident falls.

The facility underwent a Case Management – Other visit to inspect a completed expansion. The LPA observed the new expansion and noted that the facility's fire clearance and capacity have been updated to 172 Non-Ambulatory Residents. No deficiencies were cited during this visit.

The report details a Complaint Investigation conducted regarding allegations of personal rights violations, staffing issues, and protocol failures. All allegations reviewed—including issues with personal hygiene, fall reporting, and COVID protocols—were ultimately found to be Unsubstantiated based on the evidence gathered during the investigation.

The facility underwent an unannounced Case Management - Annual Continuation visit. The primary finding was related to documentation, specifically that four of five staff files were missing proof of first aid certification, citing Health and Safety Code 1569.618(c)(3). The facility was otherwise compliant, and the report noted that no deficiencies were cited during the visit regarding general operations.

The inspection identified significant deficiencies related to the safety protocols for residents with dementia, specifically concerning elopement risks. A Type A citation was issued due to a resident eloping, which poses an immediate health and safety risk. Additionally, a civil penalty was assessed due to a repeat violation of the wandering safety regulation.

This report details a Complaint Investigation conducted regarding allegations that the facility failed to meet resident care needs. The investigation found that the allegations were ultimately unsubstantiated due to a lack of available evidence and documentation. No deficiencies were cited during the visit.