complaint·October 23, 2024

At 09:05 AM LPA observed facility staff delivering breakfast to residents in care. R1’s family member (Witness #1) was interviewed via telephone call. W1 had no concerns with the amount or quality of food being served to R1. LPA interviewed Staff #1 (S1). S1 stated that residents get three (3) meals a day with snacks in between if requested, S1 has never denied a request from a resident for additional food. LPA reviewed R1’s medical records which contained no information to indicate malnutrition. LPA interviewed R1 who stated that they get enough food. Based on the information obtained during the physical plant tour, record review, and interviews there is not sufficient evidence to support the allegation of Staff do not properly feed resident in care. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff do not ensure resident is provided fluids” alleges that facility staff do not ensure that R1 is provided with a sufficient amount of fluids. During the physical plant tour LPA observed the refrigerator to be stocked with juices and other drinks. LPA interviewed R1 who stated that they get enough juice when they ask. LPA interviewed Resident #2 (R2) and Resident #3 (R3). Both residents stated that they receive enough fluids and that drinks are provided by staff when requested. During breakfast LPA observed the trays to contain juice and/or coffee. During S1’s interview they confirmed that residents are provided with liquids when requested. Based on the information obtained during the physical plant tour and interviews there is not sufficient evidence to support the allegation of Staff do not properly feed resident in care. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff leave resident in bed for extended periods of time” alleges that facility staff do not move R1 from their bed for extended periods of time. During the physical plant tour LPA observed R1 in their bed. The facility Administrator approached R1 to introduce LPA prior to the interview. The facility Administrator attempted to move R1’s arm and R1 exclaimed, “Don’t move me!” LPA then interviewed R1 who stated that they do not like to be moved. R1 stated that they wish facility staff would leave their head alone as they do not like it when staff attempt to reposition their neck. LPA asked R1 if they ever ask staff to take them out of bed and R1 replied, “I don’t want to get out of bed.” Continued on LIC 9099C. LPA spoke with W1, they stated that they wished R1 would be moved more but they expressed understanding that R1 does not wish to be moved and stated that they know movement causes R1 pain. During LPAs interview with S1 they stated that R1 has never asked them to be moved from the bed. S1 confirmed that they reposition R1 in bed every three (3) hours. LPA interviewed the facility Administrator, they confirmed that R1 does not like being moved. The Administrator stated that in the past they have moved R1 from their bed to a recliner located in the living room via Hoyer lift. R1 would only sit in the chair for a minute before requesting to be placed back in their bed due to pain. The Administrator stated that R1 complains every time they attempt to move or reposition them. R2 is R1’s roommate. R2 stated that they have observed facility staff attempting to move R1 in the past. R2 stated that R1 tells facility staff not to move them often. Based on the information obtained during observation and interviews there is not sufficient evidence to support the allegation of Staff leave resident in bed for extended periods of time. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff isolates resident in care” alleges that facility staff isolate R1 for extended periods of time. During the investigation LPA observed facility staff attending to R1 and other resident’s needs. LPA interviewed R1 who stated that their family is allowed to visit them. R1 stated that facility staff attend to them enough to take care of them. During the interviews with R2 and R3 both residents stated that the facility staff are kind and attentive to their needs. Neither resident had concerns about being isolated. S1 stated during their interview that they attend to all residents throughout the day and respond to resident requests quickly when called. The facility Administrator denied isolating the resident. The Administrator stated that they respond to the resident’s requests when asked and they allow family to visit whenever they want. W1 has never been denied from visiting R1 and did not express any concerns about R1 being isolated. Based on the information obtained during interviews there is not sufficient evidence to support the allegation of Staff isolates resident in care. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. No deficiencies were cited during today’s investigation. A copy of the report was printed and exit interview was conducted.