complaint·March 12, 2025

LIC9099-C (Page 2) Allegation: Staff did not follow the directives of resident's doctor. Finding: Unsubstantiated On 03/11/2025, LPA interviewed witness (W). W1 stated that resident (R) R1 told them that they were given a medication before their scheduled surgical procedure and was not supposed to take that medication. On 03/12/2025, LPA interviewed staff (S). S1 stated that there were no doctor's orders instructing the Med Techs to not administer the medication. S1 stated that they were not informed by R1 that they were having a procedure until the day before. S1 stated that R1 will not give them any copies of doctor's orders or After Visit Summary when they are seen at the doctor or Emergency Room (ER). S1 stated that R1 is their own responsible party. LPA reviewed the latest Physician's Report (LIC602-A) that indicates R1 is able to administer own prescription medication with an explanation, "but may need reminders." S1 stated that they called and spoke with the nurse care coordinator to get clarification and advised that the LIC602-A was not appropriate. S1 stated that R1 has an scheduled appointment with their primary care physician in April and will get the physician's report updated regarding medications and if they are able to leave the facility unassisted. LIC9099-C Continued... LIC9099- C (Page 3) Allegation: Staff are not able to effectively communicate with residents. Finding: Unsubstantiated On 03/11/2025, LPA interviewed W1 that stated R1 told them that the caregivers do not speak English. On 03/12/2025, LPA interviewed S1 that stated all staff caregivers speaks English except for maybe one person. S1 stated that the caregiver speaks Spanish and that they use a translator on their phone to communicate. S1 stated that every shift including the NOC shift has at least one (1) caregiver that speaks English. S1 stated that the caregiver that speaks Spanish does know how to communicate in terms of giving care to the residents. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.