complaint·January 25, 2023

Staff interviewed revealed that they used to required appointments to visit to limit the amount of visitors at the facility and to know when to expect the visitors so that they can Covid-19 screen them. They recommended a 30 minute limit to be able to allow more visitors to come and also to limit the amount of people at the facility, but this limit was never enforced. Most of the visits occurred in the residents' rooms. Staff denied not giving privacy to visitors and residents. The required appointment and 30 minute limit recommendation was done for the health and safety of the residents and to prevent a possible spread of Covid-19. Residents interviewed could not corroborate with the allegation. At the time that this complaint was filed the Provider Information Notice (PIN) that was in effect regarding visitation was PIN 22-07-ASC and two of the best practices listed on this PIN is the following: Limit the number of visitors on the facility premises at any one time to avoid having large groups to congregate and encourage shorter indoor visits and longer outdoor visits. Regarding the allegation " staff do not distribute a resident's medication as prescribed ", it is alleged that staff do not distribute medication in a timely manner. Staff interviewed revealed that they do distribute medication on a scheduled time and the times are 8am, 12pm and 5pm. Some residents have special medications that need to be given as early as 6:30am or as late as 9pm. Residents interviewed could not corroborate with the allegation. Regarding the allegation " staff do not answer resident's call button in a timely manner ", it is alleged that staff do not answer residents' call button in a timely manner. Staff interviewed revealed that they do respond to the call system within 2-3 minutes and if they are requested to go to the resident's room then it takes them no longer than 10 minutes. Residents interviewed could not corroborate the allegation. Regarding the allegation " staff speak to resident in an inappropriate manner ", it is alleged that a staff pointed a finger at a resident's face and stated, "you're not going to eat breakfast." Staff interviewed denied the allegation. Residents interviewed could not corroborate with the allegation. Regarding the allegation " staff do not meet resident's dietary needs ", it is alleged that the facility does not have scheduled meal times and that residents are served meals at various times. Staff interviewed revealed that they do have scheduled meal times and are as follow: breakfast 8:00am, lunch 12:00pm, and dinner 5:00pm. Residents interviewed could not corroborate the allegation and confirmed the meal times shown above. (CONTINUED TO LIC 9099C) Regarding the allegation " staff do not communicate with resident's responsible party ", it is alleged that staff do not communicate with residents' responsible parties because either they do not answer the facility phone or staff will state that they will call back but never do. Staff interviewed revealed that there is always a staff at the receptionist area to answer calls and they do call back once they obtain the answer to the responsible party question. Residents interviewed could not corroborate the allegation. Regarding the allegation " staff did not ensure that facility temperature is maintained comfortable for residents ", it is alleged that residents have their heaters ON even when it is 90 degrees Fahrenheit outside. Staff interviewed revealed that the residents have full control of the temperature in their rooms since they all have a single AC unit. When caregivers do their 2 hour check up on the residents they inquire about the temperature if they believe it is either too cold or too hot, but most of the time the residents choose to keep it at whatever temperature they have it at. Residents interviewed could not corroborate with the allegation and stated that they have full control of the AC unit in their rooms. They choose the temperature they want. Regarding the allegation " staff failed to follow the bath schedule ", it is alleged that staff do not give residents a bath at scheduled times. Staff interviewed revealed that each resident receive 2 baths a week at different days and times. On their bath schedule they list AM or PM. So if a resident has an AM shower then the shower needs to be given any time in the morning. Residents interviewed could not corroborate the allegation. 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 and a copy of the report was provided