A Casa Rhoda 3

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not return resident's wound care supplies in a timely manner.

*AMENDED* At 1:00pm on 11/18/2025, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the initial investigation visit to the allegation to this complaint. LPA met with Administrator, Rhoda Demonteverda, announced who he is and the reason for the visit. LPA conducted interviews of staff and was able to issued final findings to the allegation to this complaint as follows: As to the allegation of, “Staff did not return resident's wound care supplies in a timely manner.” It was alleged that, on 08/21/2024, facility received wound care supplies after resident was discharged on 07/17/2023 and failed to return would care supplies. On 11/18/2025, LPA Jeffries conducted an interview with Family Member 1 (F1), who stated that they have a receipt of delivery of wound care supplies delivered to facility address on 08/21/2024 on behalf of Central Coast Health from Byran Healthcare. F1 stated that they were under duress due to Resident 1’s (R1) ongoing health conthe state’s words, verbatim · CDSS document, Nov 18, 2025 · control 29-AS-20251117091009

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not meet resident’s care needs resulting in pressure injury. Facility staff did not assist resident with physical therapy. Facility staff did not meet resident’s dietary needs Facility does not have sufficient staffing Resident does not have a current appraisal Facility staff did not involve responsible party in physician contacts Administrator is not present in the facility an adequate amount of time Facility is not providing adequate laundry services

Licensing Program Analyst (LPA) Jenny Olson conducted an unannounced subsequent complaint visit to issue final findings on the allegations above. LPA met with Rhoda Demonteverde, Director and explained the purpose of the visit. LPA interviewed Reporting Party on 5/23/23, Administrator, staff, and residents on 5/23/23, Director on 5/23/23 and 5/31/23, Physical Therapist on 9/12/23 and Service Coordinator on 9/18/23. On the allegation: Facility staff did not meet resident’s care needs resulting in pressure injury. It was alleged that Resident 1 (R1) developed a stage 2 pressure injury on 5/17/23. Reporting Party (RP) stated they believe it wouldn’t have gotten so bad if staff assisted R1 with getting up because R1 scoots off the bed. LPA reviewed R1’s records and interviewed staff. R1’s records reveal on 12/19/22 R1 went to Urgent Care due to a skin tear on right buttock. Urgent Care documents dated 12/19/22 state “It’s assumed that (R1) scratched their buttock overnight.” On 12/28/22 R1the state’s words, verbatim · CDSS document, Sep 19, 2023 · control 29-AS-20230516153220