complaint·June 10, 2023

Regarding the allegation that Staff withheld resident's mail, it was alleged that R1's mail was withheld because S1 thought the package contained pills. LPA's record review today at between 10:00 AM to 11:30 AM revealed that R1 was on medication management per physician's order, which means that the facility manages all of R1's medications including but not limited to prescription and over the counter (OTC) medications. Some of R1's mail and/or packages were OTC medication and therefore subject to verification and central storage if confirmed. LPA's interview with the Resident Care Director today at 12:00 PM revealed that staff do not open any mail of any resident and they only verify by asking and watching the mail/package opened by the recipient resident. Regarding the allegation that Staff confiscated resident's personal items, it was alleged that the R1's personal items have been confiscated and not logged in such as oil, soaps, topical pain reliever, vitamins and OTC medications. LPA's record review today at between 10:00 AM to 11:30 AM revealed that R1 was on medication management per physician's order, which means that the facility manages all of R1's medications including but not limited to prescription and over the counter (OTC) medications. Further review also reveals that client/personal property and valuables (LIC 621) duly signed by R1 did not contain any personal belongings item. LPA's interview with the administrator on 05/13/23 at 11:00 AM revealed that during their meeting with R1 and R1's family member on 03/16/22, R1 and family member agreed to create an inventory of all the personal belongings of R1 and turn it over to the facility but when the private caregiver came to the facility to do the inventory, R1 refused but eventually got an ongoing inventory of R1's belongings until R1 left the facility. LPA's interview with the Resident Care Director today at 12:00 PM revealed that staff do not confiscate any personal items from any resident unless it is some form of medication, and the resident is in medication management. Regarding the allegation that Resident was left in a soiled diaper for a long period of time, it was alleged that R1 was left in a soiled diaper for hours that has caused skin break down. LPA's record review revealed that R1 was being checked/changed regularly every two (2) hours and there was no record of R1 having a skin breakdown. Further review also revealed that R1 was on Hospice service and regularly visited by a Registered Nurse (RN). LPA's interview with six (6) incontinent residents today between 11:30 AM to 2:00 PM, revealed that all six (6) of them stated that staff check on them regularly and respond to their call within twenty (20) minutes. Based on the information gathered during this and prior visits, these allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.