Complaint·February 15, 2024

...Continued from LIC9099-A Readmission to hospice care and facility occurred on 8/25/2023. Per hospice notes R1 had terminal diagnosis of severe protein calorie malnutrition and R1 ate small amounts of food throughout their time at the facility. The hospice agency (Anchor Health) provided the facility with a medication list and educated caregivers on signs and symptoms to look out for and how to respond. It was alleged that, Staff did not adequately supervise resident in care. Based on interviews with staff (S1 and S2), tasks are divided between them, and they alternate when caring for residents ADLs. There are currently 5 residents residing, who do not require 1:1 care and supervision. Based on interview with R2, S1 does most of the care, and overall care has been good. It was alleged that, Staff did not address resident's change in condition while in care. Based on record review, R1 was visited by Anchor Hospice providers, visit notes did not express any changes of their condition. R1 was verbal with Hospice providers about their condition, if they expressed any pain or discomfort facility staff provided them with their PRN medications. It was alleged that, Facility is unsanitary and in disrepair, and Facility has pests. Based on observations during initial visit conducted on 9/19/2023, LPA observed including but not limited to the floors, bathrooms, bedrooms and common areas to be clean, in good repair and without pests. It was alleged that, Staff handled resident in care in a rough manner. Based on record review, R1 did not have evidence of bruising or signs that they have been handled in a rough manner. Based on interviews with residents (R2), staff have not handled them roughly. It was alleged that, Staff are sleeping in common areas. Based on observations and interviews with staff, staff are live-in and occupy designated staff rooms. Based on interviews with residents, (R2) they have not observed staff sleeping in common areas. Continued on LIC9099C.... ...Continued from LIC9099C It was alleged that, Facility failed to seek timely medical attention. Based on record review, Anchor hospice was present at the facility on 09/11/2023 from 12:20 PM until R1 was declared deceased at 12:50 PM. Based on interviews with staff (S1), when R1 passed away, S1 informed the Administrator and the Administrator contacted R1 family members. It was alleged that, Staff did not ensure that resident(s) were provided a sufficient amount of food while in care. Based on observations, LPA observed a significant supply of perishable and non-perishable food located in the kitchen and garage. Administrator stated that they grocery shop every Wednesday. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.