complaint·February 17, 2022

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Stephen MacDonald. Facility admitted they failed to follow MD orders which resulted in a treatment delay of approximately 2 weeks for a resident's medical condition. Based on witness statements, this allegation is SUBSTANTIATED. As a result of this investigation, LPA finds the allegation that facility staff did not follow doctor's orders to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.