Follow-up·September 20, 2023

On 09/20/2023 at 4:21PM, Licensing Program Analyst (LPA), L. Alexander conducted an unannounced Case Management in regard to a phone call from Staff (S1), regarding one of the Residents. S1 called LPA L. Alexander on 09/18/2023 with concerns for R1 because they have been drinking alcohol (Vodka) and not eating. S1 had concerns that R1 may have symptoms of alcohol withdrawal and that the Staff would not be able to handle that type of issue if it occurred. S1 says that R1 was admitted earlier to their facility under hospice care and that the Physician's Report (LIC602) did not say that there was any type of alcohol/substance abuse. The hospice agency (HA) was allowing R1 to consume alcohol. R1 was discharged from hospice on 07/21/2023. The updated LIC602 dated 09/13/2023 includes to question #13 and #14: (f) Substance Abuse Problem - yes, and (g) Use of Alcohol -yes (2.5L in 24hrs). Question#14 (c) Aggressive Behavior - yes (when intoxicated). S1 was concerned for compliance as well that R1 may be harming herself because she isn't eating much. There is a doctor's order with restrictions for R1, "R1 should not drink any alcohol." LPA spoke with R1 during "Client Interview" while conducting an Annual Inspection today. R1 says that she doesn't really go out in the main common area. R1 says that she doesn't eat much because she just doesn't eat. However, R1 says that she orders her own snacks (chips, salsa, water, seltzer drinks, etc) through Instacart and that's how she receives her delivered items. R1 has a instant ice maker and Keurig coffee maker in her private room. Today, R1 says that she ate a hotdog today for lunch but probably won't eat anything else. LPA requested and received documents for R1: Physician's Report LIC602; dated 06/05/2023 Physician's Report LIC602; dated 09/15/2023 Kaiser's Activity Status Report; dated 09/13/2023 (doctor's order with restrictions no alcohol) No deficiencies issued during the visit. Exit interview conducted and a copy of this report was provided.