complaint·April 19, 2023

Allegation: Unexplained rapid weight loss of resident (R1) LPA interviewed the ED who stated residents are weigh once a month and weights are recorded. The ED indicated that residents sometimes refuse to be weigh. This ED's statement was confirmed by 4 staff interviewed. Review of records showed residents were weighed once a month. R1 refused to be weigh on one of the month on the record. Record also showed no drastic change on R1's weight. Allegation: Staff not responding to resident's calls for help It was alleged that when R1 calls for help, R1 is ignored by staff. All staff interviewed indicated that if resident calls for help, they come and check the resident within 5 minutes or less. If resident need to be assessed, med-tech or the facility nurse is called. Four out of 6 residents interviewed stated caregivers attend to them whenever they call for help. One of the resident indicated he uses call button to call for help and if no one shows up right away, he uses walkie talkie. LPA was unable to obtain information from R1. Alegation: Failure to call 911 It was alleged that when resident asked staff to call 911, staff refused. LPA interviewed 4 staff who all indicated they call 911 is when needed. All four staff indicated that R1 has behavior of wanting to call 911. R1's family member (FM) was interviewed who stated that when R1 was living in R1's home, R1 calls 911 every 2, 3 days which R1 does when R1 moved to the facility. FM further stated that the facility nurse keep a close contact and inform FM. Review of records showed R1 has dementia, somatic delusional disorder and anxiety. B ased on all information gather, the 3 allegations are closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.