Complaint·March 14, 2023

(Cont from 9099) Interview with administrator revealed that he and medication department ensure that all residents attend their medical appointments and have transportation available for all medical appointments. Interview with medication department supervisor revealed residents receive medical appointments via an appointment card through postal service including phone calls directly to the resident that medical staff aren’t made aware until the day of appointment. Medication department supervisor also revealed that appointment cards received through the postal service are held at the Medication office, then each resident is contacted by medication staff that an appointment card was received, and they will need to report to the medication office and are encouraged at their discretion to open the appointment card and add/update appointments with the medication department. Per administrator the medication department also tracks all residents’ appointments using an outlook calendar. LPA observed outlook appointment calendar. Based on the information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time. Staff does not ensure residents had adequate medications It was alleged that staff does not ensure residents have adequate medications. Interviews with medication department supervisor reveal that during preadmission's and periodically medical records/medical prescription lists are received and reviewed and ordered based on prescription instructions and if incomplete medications are received. LPA observed prescription medication list and corresponding medications on hand. Based on the information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time (Cont from 9099C) Staff does not ensure resident has adequate clothing. LPA conducted interviews with staff and residents. Five (5) out of eight (8) residents interviewed revealed that clothing is provided, and the facility has regular outings for shopping. Interview with activity coordinator revealed facility receives donations and if a resident arrives without any clothing they are either provided clothing from the in-house donations pool or activity coordinator goes and purchases clothing at the Salvation Army center located approximately 300 ft from facility. Based on the information obtained through interviews this allegation is deemed Unsubstantiated at this time. Staff are not properly trained It is alleged that staff are not properly trained. LPA reviewed six (6) random staff records from 11:15 am-12:10 pm. A review of staff records reveals that facility staff have received appropriate training's to include but not limited to: Direct care staff continuing training, dementia training, medication procedures and hospice training. Based on the information obtained through record review this allegation is deemed Unsubstantiated at this time. Exit interview conducted/Copy of report given