complaint·February 2, 2023

…continued from LIC9099 Allegations: Residents have developed pressure injuries while in care Residents are not being provided a sufficient quantity of food Residents are not being provided a sufficient quality of food. Residents are not being rotated while in care Facility has pests Investigation Findings: UNSUBSTANTIATED LPA interviewed four (4) of seven (7) Staff (S1, S2, S5, S7), and confirmed they did not observe any bruising or pressure injuries on Residents (R1, R2, R4, R5) while in care at the facility. R3’s Physician’s Report dated 05/14/21 documented a history of skin condition – breakdown. R3 was admitted to the facility 02/18/2018, updated the admission agreement on 09/20/21 and still resides at the facility. Per S1, R3 has a rash condition which cream is prescribed and applied. On 03/29/22, LPA observed two (2) Residents in the dining room eating dinner, S7 was preparing food for the Residents. S2 stated that S7 who was preparing food liked to cook and was also a good baker. S2 not only shopped and purchased food/goods for the facilities, but also for the Staff to take home in order to cut down on the number of trips to the store and the potential spread of COVID-19. On 01/04/23, S1 provided three (3) monthly sample menu’s that appeared to be balanced meals for breakfast, lunch, two (2) snacks, dinner and desert consisting of a variety of daily nutrients. LPA observed what appeared to be ground meat, chopped lettuce, onions, tomatoes, juice and water. Interview with W1, W1 stated that R1’s meals are fine and R1 receives ensure as a supplement. Physician’s Report dated 02/19/22 notes R1 is able to feed himself/herself and was admitted to the facility while on Hospice 10/16/21 An Interview with Witness #1 (W1) and record reviews revealed that R1 is non-ambulatory (paralysis), diagnosed with Dementia, and currently has a toe fungal infection with a 6-week medication regimen. W1 states the medication is being applied as prescribed, R1 does not like to be in bed all day, the facility assists with R1’s wheelchair and there aren’t any pressure sores. R2 and R4 do not have any mobile impairments at this time. continued on LIC 9099C... ...continued from LIC 9099C Pest Control inspections, records and receipts revealed that the facility has had a proactive treatment plan in place with Terminix sincm 10/03/17. The quarterly report for 01/11/22 targeted ants and on 04/12/22 there were no further recommendations or concerns. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are unsubstantiated. No deficiencies cited, exit Interview conducted and a copy of this report provided to Administrator, Nalini Bhutani. ...continued fron LIC 9099C Pest Control inspections, records and receipts revealed that the facility has had a proactive treatment plan in place with Terminix since 10/03/17. The quarterly reports did not have any further recommendations or concerns. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are unsubstantiated. No deficiencies cited, exit Interview conducted and a copy of this report provided to Administrator, Nalini Bhutani.