complaint·September 26, 2024

Continued from 9099 Interviews conducted with staff and R1 revealed that although R1 is partially blind, R1 ambulates with a walker and can leave facility unassisted. R1 confirmed being able to ambulate without staff assistance however reported R1 could benefit from staff assistance to prevent falls. Records reviewed revealed that R1 was recently admitted to the facility and the preadmission appraisal and assessment conducted by facility staff did not indicate that R1 requires assistance in ambulating. Furthermore, records reviewed and interview with R1 revealed that R1 did not sustain any falls since admission. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility staff not assisting resident with ambulating as needed” is deemed UNSUBSTANTIATED at this time. Regarding Allegations “Facility staff not meeting resident’s showering needs, Facility staff not meeting resident’s need for clean clothing, and Facility staff not meeting resident’s grooming needs”: It was reported that R1 is supposed to get help bathing several times a week but reported that R1 only gets a shower from the facility every two weeks. It was also reported that R1 was observed wearing dirty clothes and had long nails. R1 was interviewed and did not recall how often staff provide bathing assistance. Facility’s Resident bathing schedule reviewed showed that R1 is scheduled for 2 showers a week. According to Administrator and staff showers provided are not documented however if a resident refuses to shower it is documented. No record of R1 refusing showers. Regarding staff not meeting resident need for clean clothing. R1 was interviewed and did not express any concern with laundry services. R1’s was observed in clean clothing during visit; no dirty laundry observed in room. Staff reported that laundry is picked up daily from resident. Allegations was discussed with administrator and staff. In addition, random residents were interviewed. All residents interviewed stated there is sufficient staffing to meet their needs. Residents expressed that they are independent and don’t need assistance from staff. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility staff not meeting resident’s showering needs, Facility staff not meeting resident’s need for clean clothing, and Facility staff not meeting resident’s grooming needs is deemed UNSUBSTANTIATED at this time. Continued from 9099-C Regarding allegation “Facility staff not ensuring resident’s diabetic needs are met”: It was reported that R1 is a diabetic, however staff are not ensuring that his blood sugar levels are checked. Interview conducted with R1 revealed that they are not diabetic however would like their blood sugar tested to ensure glucose levels are normal. It was explained to R1 that facility staff are not allowed to do glucose checks and only a skilled professional or resident may conduct the glucose testing if needed. Staff interviewed and records reviewed did not reveal any order for glucose testing for R1. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility staff not ensuring resident diabetic needs are met” is deemed UNSUBSTANTIATED at this time. Regarding allegation “Facility staff not seeking appropriate medical attention for resident”: It was reported that that R2 has been coughing up blood and refuses to see a doctor. It was also reported that the staff at the facility has offered to take R2 to the hospital, but the R2 refuses to go get treated. Interview was conducted with R2. R2 denied ever coughing up blood. R2 confirmed hospitalization was due to nosebleed (a week ago). R2 did not report any issues with the facility and expressed that staff are very attentive. R2 expressed that everything is well and feels safe at facility. No other medical issue reported by R2. Staff interviews revealed that R2 did have a nosebleed a week ago and was sent out to the hospital for evaluation. R2 returned the same day with no new orders. Interview with staff and records reviewed revealed that R2 was TB cleared prior to admission and recently retested with a negative result. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility staff not seeking appropriate medical attention for resident” is deemed UNSUBSTANTIATED at this time. Regarding allegations “Facility staff not maintaining the facility free of odor, Facility staff not maintaining passageways free of obstruction and Facility staff not maintaining the facility clean”: It was reported that several rooms had a strong urine smell and trash next to the entry way of several rooms, one of which blocked a resident from exiting their room. During the initial visit, LPA toured the facility physical plant which included the hallways, random resident rooms, and common areas. Continued from 9099-C Also, during the initial visit, LPA conducted interview with 15 residents. Hallways and resident rooms toured observed clean and odor free during visit. All passageways and exits observed free of obstruction. Residents interviewed did not report any issues with passageways being obstructed, facility cleanliness or any bad odor. Staff reported that if a resident has an accident in their room housekeeping is immediately called to clean. Staff stated that passageways are never obstructed, resident rooms are kept clean, and trash is picked up daily. Administrator expressed that it is a challenge with some residents who have a lot of items in their room. However, they offer to assist resident with organizing things in the room so that housekeeping can clean and have room free of any hazards and maintain room odor free. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegations or that a violation occurred; therefore, the allegations “Facility staff not maintaining the facility free of odor, Facility staff not maintaining passageways free of obstruction and Facility staff not maintaining the facility clean” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of the report was provided.