complaint·May 30, 2023

During the investigation process, it was indicated that two residents (Resident 1 and Resident 2) were not getting adequate services in being fed properly and with their bathing. It was reported that Resident 1 was fairly independent and could bathe himself prior to receiving hospice services. A review of the resident logs indicated that when the resident went on hospice, he received bed baths from the hospice nurse or the care staff. Also, in the resident’s logs it indicated that he was a good eater until he went on hospice and then after he went on hospice he ate very little or would refuse meals. It was reported by staff that Resident 2 was very independent and generally did not want any assistance with feeding, which staff noted in the resident’s charting logs. Also, it was reported that the resident is difficult due to his diagnosis and that many times he would refuse to be fed or bathed. On 03/06/23 LPA Gurriere met with the resident; the resident was clean and sitting in bed, as he had recently been groomed and changed. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . Residents call bells are not being provided in a timely manner . During the interview process, the administrator, six staff persons, one resident, and a regional center staff person were interviewed. Various documents were obtained and reviewed to include Physicians Reports, Admission Agreements, Appraisal and Needs, Medication Logs, resident logs, staffing telephone numbers and staff training documents. Staff persons were interviewed, and they reported that they try to respond to the call bells within a few minutes. It was reported that if one care provider is aiding a resident and cannot respond, that care provider will radio for another care provider to answer the page. Overall, it was reported that staff respond to the residents in a timely manner. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . Facility staff do not provide adequate supervision . During the interview process, the administrator, six staff persons, one resident, and a regional center staff person were interviewed. Various documents were obtained and reviewed to include Physicians Reports, Admission Agreements, Appraisal and Needs, Medication Logs, resident logs, staffing telephone numbers and staff training documents. During the investigation of the allegation, it was stated that a resident (Resident 3) has left the facility on his own several times. However, staff were interviewed, and they reported that the allegation is untrue. It was reported that the resident is very active in his movement and wants to walk throughout the facility each day and that the resident is taken out several times a week by his family to go on luncheons; however, that the resident has never left the facility unaccompanied. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated .