Golden Flower Manor, Llc

Licensing Program Analysts (LPAs) Jerome Haley and William Vanegas made an unannounced visit to begin the investigation into the complaint allegation above. LPAs were greeted by staff and explained the reason for the visit upon entry. The complaint investigation consisted of interviews with facility staff, residents, document review, and observations. Regarding the complaint allegation: Uncleared adults providing care to residents During the investigation LPAs observed an uncleared and unassociated adult working in the facility. The Uncleared Individual (UI1) adult was in the kitchen when LPAs entered the facility. UI1 provided their first and last name, and a date of birth. U1 stated they have been working at the facility since April 2024. UI1 was asked for their ID and UI1 said they did not have any ID. Upon review of the Guardian system and personnel print out of all the employees associated to Golden Flower Manor, UI1 was not listed on either personnel report. Continued on LIC9099CRead the full finding— CDSS inspection report, October 10, 2024 · control 22-AS-20241008082533

Regarding the complaint allegation: Staff shoved food at residents 5 of 8 individuals interviewed including facility resident denied the complaint allegation. Multiple residents interviewed denied the allegation, and also denied seeing staff shove food at any resident. One of the residents who’s assisted with feeding denied the allegation and said staff treat them well. Regarding the complaint allegation: Staff yells at residents 5 of 8 individuals interviewed including facility residents denied the complaint allegation. One of the residents stated, some of the residents are hard of hearing so staff might raise their voice, but the resident denied staff yell at them or any other residents. Another resident stated, staff may elevate their voice, but the resident said they would not call it yelling. Continued on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, October 10, 2024 · control 22-AS-20241008082533

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA toured the facility and interviewed Administrator. Regarding the allegations that facility did not discuss/inform POA of Resident's change in condition and/or level of care and facility did not provide adequate notice of rate change to resident and/or POA, the investigation revealed the following: Facility Administrator provided a notice of rate increase of $1000 to Resident 1's (R1) responsible party on 08/27/2024 and effective 09/01/2024 for an increase in level of care. While the notice was provided to responsible party, the notice did not include a detailed explanation of additional services to be provided nor an accompanying itemization of the charges. R1's physician report dated 01/05/2024 indicates a diagnosis of Dementia wiRead the full finding— CDSS inspection report, September 4, 2024 · control 22-AS-20240830154950

Licensing Program Analyst (LPA) Patricia Velazquez conducted a subsequent complaint visit to deliver the findings of the investigation into the above allegation. LPA Velazquez was allowed entry into the facility and met with Administrator Florica Gheorghe and explained the purpose of the visit. On today's visit LPA Velazquez conducted an interview with Administrator Gheorghe. During the course of the investigation the following was revealed: LPA Velazquez conducted interviews with Reporting Party, residents and staff. LPA Velazquez also reviewed resident and facility records. The records reviewed included Resident Identification and Emergency Information, Preplacement Appraisal Information, Resident Appraisals, Physician's Reports, Appraisal Needs and Services Plans, Resident (R) #1's Advance Health Care Directive, Durable Power of Attorney for Healthcare, and Victory Compassion Hospice records. Two of three individuals interviewed could not corroborate the above allegation. One of twoRead the full finding— CDSS inspection report, April 6, 2023 · control 22-AS-20230228130808

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Administrator (AD) Florica Gheorghe. Complaint alleges AD is refusing to surrender a resident's personal property. Interview was conducted with Administrator (AD) Florica Gheorghe. During interview AD stated they contacted Elixair and Elixair had stated Hoyer lift did not belong to the company. LPA also obtained Medicare Capped Rental Service Agreement from complainant and facility. Medicare Capped Rental Service Agreement states, “Medicare will pay a monthly fee for a period not to exceed 13 months, after which ownership of all equipment is transferred to the Medicare beneficiary.” (Cont. on LIC9099-C) SubstantiatedRead the full finding— CDSS inspection report, August 3, 2022 · control 22-AS-20220714132148