complaint·September 15, 2023

Allegation: Staff failed to seek medical attention for resident in a timely manner Based on record review, first aid was performed on R1's lower leg by facility staff. R1 was admitted to the hospital and was treated wound care for extremity laceration. When R1 returned to the facility late in the evening, R1 was under observation by staff and wound would not stop bleeding post sutures completed at the hospital. Resident was admitted to emergency on 9/3/21 and 9/4/21. Facility conducted a meeting with R1's responsible parties once it was determined facility is unable to care for the wound. Resident was transferred to skilled nursing facility on 9/4/21. Allegation: Insufficient staffing to meet residents' needs Based on interview with 6 residents, 5 of 6 residents had no issue with staffing. 5 of 6 residents stated staff checks on them and meets their needs. Allegation: Facility is going through a possible financial crisis The Department investigated facility is going through a possible financial crisis. Based on information obtained, the Department discovered the occupancy trend from Key Indicator Report (KIR) reveals that the decline occurred in FYE 12/31/20 and afterward because of restrictions placed during COVID-19. This community has a 60-bed skilled nursing facility and 40 beds were occupied as of June 2022. The meeting with the Eskaton, the management company and affiliate, confirms that they have a plan in place and working to improve operating performance and occupancy. REPORT CONTINUES ON 9099C Allegation: Facility failed to provide adequate food service Based on interview with 6 residents, 5 of 6 stated they receive adequate food service. Allegation: Facility did not respond to family council's concern in a timely manner Based on interview with S4, family council is held once a month and when COVID started, meeting was conducted via zoom. Family council member will email S4 the schedule and an email blast will be sent to all the family members. Executive Director at the time would respond to any concerns via email. AGPA was unable to prove or disprove allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted with Executive Director and a copy of this report provided.