complaint·January 20, 2022

(continued from LIC 9099) When S2 realized that R1's vital reading is not good, S2 immediately called 911 at around 4:10 PM. While on 911 call, operator advised S2 to perform CPR to R1 so R2 did until the paramedics arrived within minutes and took over from S2. Regarding the allegation that Staff did not have knowledge of resident's needs or care plan, it was alleged that staff members at the board and care had zero paperwork for the resident. LPA's record review on 11/23/21 at 1:20 PM and today at 1:02 PM revealed that R1 had complete documentation at the facility including but not limited to: Updated Physician's report (LIC 602), Updated Resident appraisal (LIC 603A), Identification and Emergency information (LIC 601) and list of medication and advanced health directive that the paramedics required. LPA's interview with administrator today at 1:20 PM also revealed that R1 used to be on Hospice but was taken off hospice two (2) years ago and the family did not want for R1 to have a DNR (Do Not Resuscitate). Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.