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32 | During the investigation LPA reviewed the Flowers Family Care 2 Admission Agreement dated March 17, 2026, for R1. Per Admission Agreement, under visiting policy it states family and friends are encouraged to visit from 10:00 a.m. to 6:00 p.m. Admission Agreement states every effort will be made to accommodate special request for visitations at any time if the visitation does not violate another resident’s personal rights. During the initial visit, LPA knocked on the front door, identified himself and was allowed entrance into the facility. During the interviews with staff, Staff 1 (S1) reported that family and nurses are always allowed entrance to visit the residents. S2 stated that visits are allowed between 10:00 a.m. to 6:00 p.m. During the interviews the AD reported that family members and nurses are always allowed entrance to visit the residents during visiting hours.
Regarding the allegation that due to neglect or physical abuse, residents have bruises/skin tears, the following was revealed: During the investigation LPA reviewed the Appraisal/Needs and Services Plan dated May 20, 2026, for R1. Per Appraisal/Needs and Services Plan it states R1 can walk but they are not very steady on their feet. During the initial visit on June 15, 2026, LPA tour the facility and did not observe bruises and/or skin tears on four of six residents. During the interviews with staff, S1 reported that the residents do not have bruises and/or skin tears due to neglect or physical abuse. S2 reported that staff do not neglect or abuse the residents and stated that the residents do not have bruises or skin tears. During the interviews the AD stated that staff do not neglect and/or physically abuse the residents.
Regarding the allegation that staff does not meet the medical needs of resident, the following was revealed: During the investigation LPA reviewed the Appraisal/Needs and Services Plan for R1. Appraisal/Needs and Services Plan states Physical Therapy two times per month from Hoag Home Health. Per Appraisal/Needs and Services Plan states that nurses visit once per week. During the interviews with staff, S1 reported that the nurse visits R1 one time per week. S2 stated that R1 is visited by the nurse and reported that staff will call 911 during a medical emergency. During the interviews the AD reported that staff are meeting the residents’ medical needs. The AD stated that staff communicate and follow the nurse’s instructions regarding the residents medical needs.
Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to insufficient evidence. Therefore, all above allegations mentioned have been deemed to be UNSUBSTANTIATED.
An exit interview was conducted and copy of this report was explained and provided during the visit with AD Martinez.
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