complaint·January 16, 2025

Allegation: Staff failed to ensure proper medication assistance - The Reporting Party (RP) alleges that Resident#1 (R1) is not encouraged by staff to take their medications daily. To investigate the allegation, LPA conducted a records review of R1's file, which revealed the following: Medical Administration Records (MAR) indicate staff tracking of prescribed medications taken/refused by R1. LPA interviews with staff revealed the following: Both Administrator and staff deny the allegation, stating that R1 is encouraged by staff to take their medicine, despite occasional refusals. LPA interview with R1 revealed the following: R1 states that "[staff] try to get me to take my meds...even when I don't want to". LPA interviewed a total of seven (7) residents. Six (6) out of seven (7) residents do not corroborate the allegation, stating that staff do provide proper medication assistance. Although this allegation may have occurred, or is valid, there is not a preponderance of evidence to prove the alleged did, or did not occur , therefore the allegation is deemed UNSUBSTANTIATED at this time. Allegation: Staff is neglecting Resident care and supervision - The Reporting Party (RP) alleges that Resident#1 (R1) is not assisted by staff to accomplish their Activities of Daily Living. (ADL's) To investigate the allegation, LPA conducted a records review of R1's file, which revealed the following: Review of R1's care plan shows R1 requires assistance with bathing, dressing, grooming, and encouragement to take medications on a daily basis. LPA interviews with Administrator and staff revealed the following: Staff deny the allegation, stating that staff assist R1 with their ADL's on a daily basis. LPA interviewed R1, who states that staff do provide them assistance with their daily needs. LPA interviewed a total of seven (7) residents. Six (6) out of seven (7) residents do not corroborate the allegation, stating that staff are providing resident assistance to meet daily needs. Although this allegation may have occurred, or is valid, there is not a preponderance of evidence to prove the alleged did, or did not occur , therefore the allegation is deemed UNSUBSTANTIATED at this time. Allegation: Resident is not getting appropriate incidental medical care - The Reporting Party (RP) alleges that Resident#1 (R1) was not provided staff assistance in scheduling and transporting R1 to medical appointments. To investigate the allegation, LPA conducted a records review of R1's file, and other relevant documents, which revealed the following: Records show appointments scheduled for neurologist, ophthalmologist, cardiologist specialists, etc. For this investigation, LPA interviewed a total of four (4) staff, which revealed the following: Both Administrator and staff deny the allegation, stating incidental medical needs, including making appointments are met. LPA interviewed R1, who states that staff do schedule their doctor appointments, and prep R1 to ensure they are ready to be transported to the doctor's office. During the investigation, LPA interviewed a total of seven (7) residents. Six (6) out of seven (7) residents do not corroborate the allegation, stating that staff do provide assistance with their incidental medical needs. Although this allegation may have occurred, or is valid, there is not a preponderance of evidence to prove the alleged did, or did not occur , therefore the allegation is deemed UNSUBSTANTIATED at this time. Allegation: Resident’s dietary needs are not being met- The Reporting Party (RP) alleges that Staff do not provide Resident#1 (R1) the proper diet as stated in the care plan, and that food for R1 is not available during un-scheduled meal periods. To investigate the allegation, LPA conducted a records review of R1's file, and other relevant documents, which revealed the following: Records show R1 is required to be on a "renal diet". LPA conducted a observation of the facility kitchen and found a post listing R1, and all other residents requiring renal and diabetic restrictions. LPA Interviews with Administrator and kitchen staff revealed the following: Staff deny the allegation, stating R1 is provided a low salt/low sugar diet, with moderate protein portions. LPA interviewed R1, who states that staff do provide food to them during routine meal times, and "after-hour" meals/snacks when requested. During the investigation, LPA interviewed a total of seven (7) residents. Six (6) out of seven (7) residents do not corroborate the allegation, stating that staff do provide "after-hour" meals and snacks when requested. Based on the information gathered from this investigation, Although this allegation may have occurred, or is valid, there is not a preponderance of evidence to prove the alleged did, or did not occur , therefore the allegation is deemed UNSUBSTANTIATED at this time. [LIC 809-C Continued]