Complaint·May 28, 2024

Based on interviews and record review there is not sufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was provided. R1 looked pale, was not eating well and had decrease in physical functions. However, staff was unable to explain when they started to notice changes in R1's condition and what additional services they were providing to R1 to meet resident's unmet needs. On 08/07/23, R1 was sent to the hospital after R1's family member visited the facility and requested to call 911. Prior to this visit on 05/17/24 at 11:00am, R1's facility files were reviewed. A physician report dated 07/23/23 did not disclose any information about changes in R1's condition observed by the facility staff. A completed needs and services plan for R1 was dated on 12/19/19 and not updated care and service plan was available for review. Hospital records revealed that at the time of admission to ED, R1 presented with an altered mental status, hypertension, and possible sepsis. Based on interviews and record review, there is sufficient information to support the allegation. Hence, the allegation is SUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued.