complaint·December 30, 2022

Continued from Lic9099 It was alleged that, staff do not report resident's change in condition to responsible party. Based on record review and interviews conducted, R1’s family was notified on 6/27/2021 when R1’s foot infection began. Wellness nurse documented foot infection on care notes and the process of the infection. Wound care began on 6/27/2021 and has been implemented by wellness nurse and continues to receive wound treatment by nurse in the community. Needs/service plan dated for 10/26/2022 states R1 is at increased risk for skin breakdown and for staff to conduct routine checks for new skin issues and to report to nurse. R1’s foot infection is on-going and is being cared for and documented by community wellness nurse. It was alleged that, staff do not follow resident's physician's order. Based on record review and interviews conducted, progress notes stated on 6/27/2021, R1’s foot infection began, and physicians’ orders was received for R1’s foot infection for wound treatment. Wound care was being carried out by wellness nurse starting on 6/27/2021 and continued to follow Physicians order. On 7/30/2021, a new physicians order was placed for R1’s foot swelling due to leg infection. On 9/12/2022, a new order was received for leg infection and were followed; Orders by the physicians were carried out until further notice and has been documented in progress notes. It was alleged that staff, do not assist resident with grooming. Based on record review and interviews conducted, wellness nurse have performed ADLs to include grooming for R1 on a daily basis dated June 2022- October 2022. LPA received R1’s ADLs service delivery records that indicates ADLs were performed by staff. R1’s ISP has also indicated that ADLs including grooming are to be performed twice a day by staff. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation are UNSUBSTANTIATED . Exit interview conducted with ADM, and a copy of this report provided.