Complaint·September 27, 2022

Pre-placement Appraisal (09/06/19), Care Plan (dated 01/23/20), Health and Wellness Review (dated 01/16/20), Medication Record (June 2020), and Special Incident Report (06/03/20) for Resident #1 (R1). LPA/RA Ceniceros attempted to conduct telephone interviews (via landline) with Complainant, but to no avail; Witness #1's cell was a wrong number, and Resident #1's number was no longer in service. Regarding Allegation #1 : this investigation revealed interviews conducted corroborated that Resident #1 (R1) moved into the facility on 09/06/19 as an "independent" resident and responsible for own self. A review of the Pre-Placement Appraisal (dated 09/06/19) documented no services were needed with R1's bathing or personal hygiene; continence or bladder control. A review of the resident's Physician's Report (dated 09/04/19) documented resident's capacity for self care: able to bathe self: yes; able to groom self: yes; able to care for own toileting needs: yes; bladder impairment: yes. A review of the resident's Health and Wellness Review (dated 01/16/20) documented that Resident #1 is able to transfer/ambulate independently; resident does not require complete bathing assistance, requires no assistance in toileting needs, and does not require wellness (ADLs) check. A Care Plan (01/23/20) was later developed for Resident #1; however, Resident #1 refused basic care needs and healthcare needs from the facility and elected to find services elsewhere for the resident's own care needs. A review of the Special Incident Report (dated 06/03/20) documented that Resident #1 was hospitalized for an unrelated incident and did not return to the facility following hospital discharge, effective 06/03/20. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: Facility staff did not assist resident with showering needs is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed interviews conducted corroborated that Resident #1 (R1) moved into the facility on 09/06/19 as an "independent" resident and responsible for own self. A review of the Pre-Placement Appraisal (dated 07/09/19) documented no services were needed with R1's medications. A review of the resident's Physician's Report (dated 09/04/19) documented resident's medication management: able to administer own prescription medications: yes; able to administer own PRN medications: yes; able to store own medications: yes. A review of the resident's Health and Wellness Review (dated 01/16/20) documented that Resident #1 did not require assistance with medications to be administered. Facility maintained a record of the resident's medications (June 2020) for emergency (paramedics or hospitalization) purposes. A Care Plan (01/23/20) was later developed for Resident #1; however, Resident #1 refused basic care needs and healthcare needs fromthe facility and elected to find services elsewhere for the resident's own care needs. A review of the Special Incident Report (dated 06/03/20) documented that Resident #1 was hospitalized for an unrelated incident and did not return to the facility following hospital discharge, effective 06/03/20. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: Facility staff did not ensure that resident is taking medications as prescribed is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report provided to Executive Director, Liyon O'Quinn.