report. >> and kenya tomas is running the slides remotely. >> thank you, for recognizing all the laguna honda staff and all the different teams and thairt reason we are here today presenting this annual police report to you. i serve as nursing home administrator and ceo for laguna hand a, i'm joined with jennifer the jennifer and she is assistant. it has been a great honor to serve the residents and families for this past fiscal year. and i'm grateful for the continued flexibility during the time of change and for continuing to interest us with our care. it's also been a pleasure to serve a language the staff of laguna hand a. they're the true result their dedication. i'm proud and honored to be part of this team and all that we've achieved together this past year including the resiter fickation. next slide. we're one of the largest nursing facility in california and in the country and one of the oldest. we represent commitment by any county for, and adults with disable. i really believe that laguna honda reflects the best of san francisco and excellent services for those who need the most. n

for more then 150 years, laguna honda has sort of woven itself into san francisco's history. heard that laguna honda didn't regain our certification, our hearts sank. >> in april 2022, the center for medicare and medicaid, cms, took away laguna honda participation in its program, which is extremely devastating. participation in the cms program is the way laguna honda is funded and able to keep its doors open. laguna honda takes that very seriously and we report incidents appropriately, and cms and [indiscernible] come out to review those facility reported incidents. what happens during that is enforcement cycle begins and the cycle is only 6 months, so any time there is a deficiency noted you have to train all your staff and the expectation is you get 100 percent of staff with training and the entire time the clock is ticking, there is no pause on the clock. >> our office legal strategy to figure out that we could through the federal government and the actual lawsuit itself, was a important part in allowing the facilities to not transfer any resident out of the facility and a

even at laguna honda. i notice some of the long-term care language canceled out and more hospital based language. i might be overreacting, however that is the initial reading of the bylaws. sniff residents-i use the word sniff, do not understand the rights when they receive such a notice. the rights to participate in the care plan meeting and a planning meeting for discharge. these are community based skilled nursing facilities. not all who are admitted to post acute beds are able to participate in therapy. hospitals are sending people where they aret noweight baiter and not able to get out of bed and in recovery and yet the time clock is ticking. it takes even on the weekends when there is less therapy. number six, community based skilled nursing facilities discourage residents from applying for medi-cal under the federal regulations. they are supposed to inform individuals at the time of admission they are eligible for medi-cal. that's not happening. we got calls from family and residents that they are t

for more then 150 years, laguna honda has sort of woven itself into san francisco's history.n we heard that laguna honda didn't regain our certification, our hearts sank. >> in april 2022, the center for medicare and medicaid, cms, took away laguna honda participation in its program, which is extremely devastating. participation in the cms program is the way laguna honda is funded and able to keep its doors open. laguna honda takes that very seriously and we report incidents appropriately, and cms and [indiscernible] come out to review those facility reported incidents. what happens during that is enforcement cycle begins and the cycle is only 6 months, so any time there is a deficiency noted you have to train all your staff and the expectation is you get 100 percent of staff with training and the entire time the clock is ticking, there is no pause on the clock. >> our office legal strategy to figure out that we could through the federal government and the actual lawsuit itself, was a important part in allowing the facilities to not transfer any resident out of the facility a

going to begin with our report.tomas the slides remotely. >> ank you, for recognizing all the laguna honda and all the diffenreason we are presenting this annual police report to you.e administrator !aand ceo for laguna hand a, i'm ed with jennifer th is assistant. it has been a great honor to serve the residents this and i'm grateful for the ofsnand for continuing to us thalso pleasure to they're i'm proud and part of this team and all at bm%y we've achieved together this past year including the resiter fickat county for, and disable. i believe that laguna san services for those who need the most. next slide. as i talk about the and visies for me, i to ground ourselves in the why we're here so mean the mission for lav,guna hand a is to provide wetherapeutic and promotes the individuals well weon is to build a laeter post acute care.out the vision mission, with compassion, professionalism and team work and an in the focus on the vision being the best in me, i think reizing t vision, mission and are really recognwhy we're here guides continue with the best of who we are and where we want t

referrals from laguna honda hospital are anticipated to increase in the next reporting period as thent emissions resumed following the hospital recertification. the community options and resource engagement, or core team continue to hold weekly meetings to facilitate and support clients transition from laguna honda hospital to community living. the clfp maintain collaboration with brillpiant corners to implement the integrated housing modeling offering appropriate housing opportunities along with rental assistance and supportive services. the clfp and public guardian worked together to identify new referrals and promote purchase of services for eligible clients. i like to extend my sincere appreciation to the following individuals for the valuable contributions or support in the preparation of this report. [indiscernible] genevieve herrera, cindy kaufman, [indiscernible] nancy peterson, shelby ungger. thank you all for your attention. i like to open the floor for any questions. >> commissioners, are there questions regarding this 6 month report for comments? >> comment. >> sure. >> a

supervisor peskin talk the ballpark to laguna honda to covid. jesse smith has been there every step of the way. and he would be the first to tell thank you he is not political. and this is true. he never attended a politicalent and never gave me a nickel. let me tell you jesse smith may be not political has the best political gentlemen of anybody in this room. had a sense of understanding how issues would play out. he would think did b t play them out and always had one job at the forefront of his mind. not just to protect the city attorney's office but to protect the decisions that all of us make collectively. prime example of that, people ask what is the biggest power city attorney has the lawsuits that you file? opinions you give to all of it is neither it is our ability to impact an election. summary is done by the city attorney's office. with a flicking of a pen, a phrase you can influence the outcome of an election. we knew we nevermented that to be call in the question. and jesse smith was in charge of the summary the last 25 years i woul

supervisor peskin talk the ballpark to laguna honda to covid. jesse smith has been there every step of the way. and he would be the first to tell thank you he is not political. and this is true. he never attended a politicalent and never gave me a nickel. let me tell you jesse smith may be not political has the best political gentlemen of anybody in this room. had a sense of understanding how issues would play out. he would think did b t play them out and always had one job at the forefront of his mind. not just to protect the city attorney's office but to protect the decisions that all of us make collectively. prime example of that, people ask what is the biggest power city attorney has the lawsuits that you file? opinions you give to all of it is neither it is our ability to impact an election. summary is done by the city attorney's office. with a flicking of a pen, a phrase you can influence the outcome of an election. we knew we nevermented that to be call in the question. and jesse smith was in charge of the summary the last 25 years i woul