ComplaintsforLa Casona Personal Care Home

• Initial Complaint

  01/05/2023

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  Concerned of the safety and well being of hospice patients (***************) placed with la Casona private home care business owner ******************************************. Business had a website, After patient passed website was down. Business failed to notify us of patients health status up to passing date (including when patients medicine and health-changes) Business does not have proper health and safety warnings available, This includes fire escape rout. Not able to confirm proper licensing of business and staff. Home health has 3 live in hospice patients. All times of visitation one staff was present, for 3 patients. ******* (business owner) has also failed to follow proper Hippa guidelines by providing us with other patients information. ******* made all attempts to not list patient as imminent so that ****** did not have to provide extra visits, and extended hours per contract agreement. Nurse with ***************,***** let us know she was also concerned with the care provided to patient Please feel free to request text messages No record keeping was kept including oxygen levels and food intake. Patient *************************

  Business response

  02/17/2023

    In response to a complaint. 
  
  Website www.LaCasonaPCH.com  has not been interrupted.
  
    The  family for ****************** was kept informed of all changes that were noted. Daily updates with pictures and amounts of feedings given to residents' families in group text. 
     In my initial conversations with ******, she was aware that I am self employed. My home is a personal care home. No license is required as my care is for no more than 3 residents. ****** came in person and toured my home. Requesting a private room, we agreed for her to partially furnish the room. Deposit and fee was discussed and agreement was signed. 09.07.2022 
  Ms ****** never requested information or demonstrated discomfort or concern for her mothers care or safety.
        Resident ***** (******'s mother) was under hospice care. Nurse from the hospice never confirmed the patient was imminent or under crisis.( See page 1 in agreement contract, patients on hospice will have a hospice nurse called first if any changes in condition are noted). All changes were considered normal decline. We at La Casona PCH did (do) keep a log for when medications are/were given. No medication is administered without Nurse orders a/o hospice doctor indications. (this includes comfort meds, vitamins; at time of admission the patient was NOT on oxygen. Nurse assessed and ordered use on 10.26.22 @ 2lt  was increased on 11.30.22 @ 4lt)
         In several circumstances ****** mentioned Hippa agreement previously signed with Hospice. My home does not have such agreement as general practice. I only inform the responsible party of changes in condition through the group text. 
     As per my contract which was signed by ****** it states that if a resident is under ************ there will not be any refund if the patient expires ( See page 5 of agreement). I had ************** under my care from September 9th 2022 through December 20th 2022 date she expired. Daughter had 4 months to remove her loved one if neglect and safety were an issue.
   I had many verbal conversations with ****** and she was grateful for the care given to her mom, she thanked me for everything. This comes as a surprise that all these things have been brought up. ****** requested invoices and tax ID information. I did respond that all documents requested would be mailed to address on file no later then 01.30.23 this conversation took place via whatsup on 12.27.22 
  
    I want to mention that Embrace ******* referred ****** to my home as one of their better options. I had no problems arise with ****************** family in the time she was in my care. I am sensitive to the grieving process and understand that this may be the circumstance. 
  I have kept communication open for the business relationship and tried to maintain myself respectful. After receiving late night text and early morning messages, and also through my personal social media I have blocked all communications with ****** as a form of maintaining my personal and business separate.
   I am also attaching a copy of our initial agreement and text messages giving updates of care. And also documentation providing a scheduled record of comfort meds with dates and times. Mrs ****** has not requested these documents.
  
  
                                                                                                                                                                                                                                                                                            
  
  
    Please feel free to contact me at your convenience 
   ***************************************** DBA La Casona PCH ************
  *************************************
  9841 ***********, ******* ***** 78154
  

  
  

  Business response

  02/17/2023

    In response to a complaint. 
  
  Website www.LaCasonaPCH.com  has not been interrupted.
  
    The  family for ****************** was kept informed of all changes that were noted. Daily updates with pictures and amounts of feedings given to residents' families in group text. 
     In my initial conversations with ******, she was aware that I am self employed. My home is a personal care home. No license is required as my care is for no more than 3 residents. ****** came in person and toured my home. Requesting a private room, we agreed for her to partially furnish the room. Deposit and fee was discussed and agreement was signed. 09.07.2022 
  Ms ****** never requested information or demonstrated discomfort or concern for her mothers care or safety.
        Resident ***** (******'s mother) was under hospice care. Nurse from the hospice never confirmed the patient was imminent or under crisis.( See page 1 in agreement contract, patients on hospice will have a hospice nurse called first if any changes in condition are noted). All changes were considered normal decline. We at La Casona PCH did (do) keep a log for when medications are/were given. No medication is administered without Nurse orders a/o hospice doctor indications. (this includes comfort meds, vitamins; at time of admission the patient was NOT on oxygen. Nurse assessed and ordered use on 10.26.22 @ 2lt  was increased on 11.30.22 @ 4lt)
         In several circumstances ****** mentioned Hippa agreement previously signed with Hospice. My home does not have such agreement as general practice. I only inform the responsible party of changes in condition through the group text. 
     As per my contract which was signed by ****** it states that if a resident is under ************ there will not be any refund if the patient expires ( See page 5 of agreement). I had ************** under my care from September 9th 2022 through December 20th 2022 date she expired. Daughter had 4 months to remove her loved one if neglect and safety were an issue.
   I had many verbal conversations with ****** and she was grateful for the care given to her mom, she thanked me for everything. This comes as a surprise that all these things have been brought up. ****** requested invoices and tax ID information. I did respond that all documents requested would be mailed to address on file no later then 01.30.23 this conversation took place via whatsup on 12.27.22 
  
    I want to mention that Embrace ******* referred ****** to my home as one of their better options. I had no problems arise with ****************** family in the time she was in my care. I am sensitive to the grieving process and understand that this may be the circumstance. 
  I have kept communication open for the business relationship and tried to maintain myself respectful. After receiving late night text and early morning messages, and also through my personal social media I have blocked all communications with ****** as a form of maintaining my personal and business separate.
   I am also attaching a copy of our initial agreement and text messages giving updates of care. And also documentation providing a scheduled record of comfort meds with dates and times. Mrs ****** has not requested these documents.
  
  
                                                                                                                                                                                                                                                                                            
  
  
    Please feel free to contact me at your convenience 
   ***************************************** DBA La Casona PCH ************
  *************************************
  9841 ***********, ******* ***** 78154
  

  
  

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