Complaint·May 28, 2021

The investigation revealed the following: Allegation: Staff are not following physician's orders to place a resident in a private room It is alleged on facility Staff are not following physician's orders to place a resident in a private room. On 04/21/2021 Responsible Party (RP) was informed by Administrator that she had not paid for a private room. On 05/17/2021 LPA Calderon reviewed facility paperwork: Assisted Living Waiver (amenity form) date 9/8/2016, R1 waived her right to private room, refrigerator and microwave, Shower schedule, 4 groups, R1 is in group 1, room 271 shower given Monday group 1, Wednesday group 4 and Saturday group 4. Admission agreement, normal charges for resident care. On 05/18/2021 LPA Calderon interviewed R1 who states that staff is not following her doctors’ orders. On 05/18/2021 LPA Calderon interviewed S1-S9 who all confirm that they follow all doctors’ orders for R1 and that resident 1 is hard to please. On 05/18/2021 LPA Calderon interviewed R2-R10, all confirm no issues with service, food, showering, medication. Allegation: Staff are not following physician's orders for showering a resident It is alleged on facility Staff are not following physician's orders for showering resident. On 05/17/2021 LPA Calderon reviewed facility paperwork: Assisted Living Waiver (amenity form) date 9/8/2016, R1 waived her right to private room, refrigerator and microwave, Shower schedule, 4 groups, R1 is in group 1, room 271 shower given Monday group 1, Wednesday group 4 and Saturday group 4. Admission agreement, normal charges for resident care. On 05/18/2021 LPA Calderon interviewed R1 who states that staff is not following her doctors’ orders. On 05/18/2021 LPA Calderon interviewed S1-S9 who all confirm that they follow all doctors’ orders for R1 and that resident 1 is hard to please. Staff state that R1 refuses to take her shower when all other resident takes their shower around 11am. Staff also confirms that R1 refuses most food given to her. On 05/18/2021 LPA Calderon interviewed R2-R10, all confirm no issues with service, food, showering, medication. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. A exit interview was conducted with Administrator Brad DeHann, and a hard copy was provided.