complaint·May 21, 2022

Further record review also revealed that R1 was seen and/or had communication with R1's Primary Care Physician (PCP) and/or PCP's associate on 08/06/19, 08/12/19, 08/26/19 and 08/28/19 regarding R1's medical condition in August of 2019 alone. Regarding the allegation that Staff use resident's personal hygiene products on other residents, it was alleged that Staff are forced to reuse gloves or change R1 with no gloves at all. Then LPA Gillyard's interview with four (4) care staff on 08/16/19 revealed that all of them did not re use any gloves or any other personal hygiene products on any other residents nor they witnessed any staff re using gloves or not wearing them when changing and/or attending to R1 or any resident. Further interview revealed all of the staff interviewed did not experience shortage of gloves or any other personal protective equipment (PPE) at the facility and did not use any resident's PPE supply to other resident. Then LPA Gillyard also conducted random review of medication cart on 08/16/19 and found that the medication cart had sufficient supplies of gloves. Regarding the allegation that Residents needs are not being met, it was alleged that R1 was not receiving the proper care that R1 needs. LPA's record review on 05/17/22 at 10:15 AM and today at 11:00 AM revealed that R1 was on Home Health care since 02/04/19 until the time R1 left the facility on 10/18/19. LPA's interview with five (5) residents or more than 10% of current census, today between 10:00 AM to 12:30 PM revealed five (5) out of five (5) residents stated that all their care needs were being met by the staff. Regarding the allegation that Staff are not following universal precautions, it was alleged that the facility does not provide staff with mask, gloves or gown to be protected when attending to R1 who was diagnosed with a communicable disease. LPA's record review on 05/17/22 at 10:15 AM and today at 11:00 AM revealed that R1 was diagnosed with a suspected communicable disease on 08/04/19 and communicated at the facility by R1's PCP on 08/06/19. R1 was immediately put on isolation and staff were advised to take precaution and to wear PPE upon entering R1's room upon leaning of R1's medical condition. Then LPA Gillyard's interview with four (4) care staff on 08/16/19 also revealed that they did not experience shortage of gloves or any other personal protective equipment (PPE) at the facility. Further, there was no report of any person, staff or resident, who got infected by the suspected communicable disease that could have originated from R1. Based on the information gathered during this and prior visits, there is insufficient information to support the allegations and therefore deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.