complaint·June 23, 2022

Allegation - Facility opens resident's mail. Residents interviewed stated they have never had issues with staff opening their mail. Each resident has a mail box near the front office. Staff interviewed deny knowing of anyone opening residents' mail. Based on the information obtained, the allegation is unsubstantiated. Allegation - Facility is giving resident medication that is not prescribed. It's alleged facility is providing R1 with medication that is no longer prescribed. R1's records contained psychiatric notes that discontinued R1's Zyprexa medication on 10/18/21. Allegedly staff continued to give the medication after the discontinuation order. Staff interviewed denied the allegation. R1's medication records were reviewed and the Zyprexa medication is no longer listed on the Medication Administration Record (MAR). Psychiatric notes indicate R1 was on and off the Zyprexa medication in 2020. Other residents interviewed did not report any medication issues. Based on the information obtained, the allegation is unsubstantiated. Allegation - Facility is charging resident for services not received. It's alleged facility is charging R1 for blood pressure monitoring and laundry service and facility is not providing those services. Staff interviewed indicated R1 sometimes does not allow staff in his/her room. Staff does assist with blood pressure monitoring when R1 allows staff inside. All staff indicated R1 is verbally aggressive sometimes and will shut the door in their face. Staff also report and document when R1 refuses medications and meals because he/she does not want anyone in the room. Staff reported that the laundry also gets done with R1 allows staff inside. Other residents interviewed reported no issues with overcharges and reported facility provides the services indicated on the admission agreement. LPA attempted to contact R1's conservator several times, however conservator has not called back. Based on the information obtained, the allegation is unsubstantiated. Allegation - Facility does not serve meals at scheduled times. Residents interviewed did not corroborate the allegation. Residents interviewed included some that go to the dining room and some that receive trays in their rooms. None of them reported having issues with the meal times. Staff interviewed indicated everyday the meals are served at the same time. Based on the information obtained, the allegation is unsubstantiated. 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 held. A copy of the report was provided.