complaint·September 26, 2023

In regard to allegation “facility is not adequately staffed to meet the needs of the residents in care," it was alleged that facility was understaffed which caused bed bound resident was not properly attended for resident’s need and residents would sit on soiled diaper for long period of time. Seven (7) out of seven (7) residents interviewed could not corroborate the allegation. Four (4) of those seven (7) residents interviewed were using briefs or diapers. Residents’ interviews revealed staff provided the cares that residents’ needs, they did not sit on soiled diaper for long period of time, and their cares/needs were met. All six (6) staff interviewed denied the allegation. Administrator stated no resident residing at the facility was bed bound. Staff interviews revealed that no resident was bed bound. Staff would attend to residents who needs assistance and change their soiled diapers in 5 - 10 minutes. LPA toured to residents’ room who using briefs and diapers. LPA did not smell foul odor and was not aware of residents who sit on soiled diapers. Therefore, staff had met residents’ cares and needs. In regard to allegation “unqualified staff are performing glucose testing for residents in care," it was alleged that staff who are not medical professional had conducted glucose testing for residents. Seven (7) out of seven (7) residents interviewed could not corroborate the allegation. Resident interviews revealed that residents would prick their fingers with lancet and drew blood by themselves. Staff would prepare and clean up after residents’ glucose testing. All six (6) staff interviewed denied the allegation. Staff interviews revealed that residents’ glucose testing was conducted by residents and staff only assisted on preparing the set up and clean up after the test. Staff file review revealed facility had policy on medication administration and training on blood glucose monitoring to staff. Therefore, staff did not perform glucose testing for residents. In regard to allegation “facility staff are not properly trained," it was alleged that staff are not properly trained for administer injection medication to resident. Seven (7) out of seven (7) residents interviewed could not corroborate the allegation. Resident interviews revealed none of the residents were on injectable medication. All six (6) staff interviewed could not corroborate the allegation. Staff interviews revealed no resident was on injectable medication. Per staff file review, since no resident is on injectable medication, no training on injectable medication was needed. Therefore, facility did not fail to properly trained staff on injection medication. (-continued in LIC 9099 C-) In regard to allegation “staff did not ensure that a resident was administered medication," it was alleged that resident did not receive resident’s injectable medication. Seven (7) out of seven (7) residents interviewed could not corroborate the allegation. Resident interviews revealed that residents did not have injectable medication. All six (6) staff interviewed could not corroborate the allegation. Staff interviews revealed that no resident residing at the facility had injectable medication. File review revealed no resident was on injectable medication. As mentioned above, per staff file review, no training on injectable medication was provided and no resident was on injectable medication. LPA toured to med room and did not observe any injectable medication in place. Therefore, staff did not fail to administer resident’s injectable medication since no resident was on injectable medication. 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. An exit interview was conducted with Administrator. A hard copy of the report and appeal rights were provided.