Complaint·May 31, 2023

Allegation 1: Licensee does not ensure a supply of basic hygiene products are available for residents in care. It was alleged that the facility is not providing hygiene supply to the residents. Family is to provide products included in the Incontinence Care supply; service such as wipes, cleaning spray and creams. Staff interviews revealed that facility is providing hygiene products, such as soap, shampoo, body wash and etc. However, providing Incontinent Care supply is not part of the hygiene items that should be provided by the facility. Although, as per the facility Personal Care Program, Incontinent Care products are provided by resident and/or their responsible party(s), as a courtesy, facility is providing diapers and in lieu of wipes they use washcloths. Residents’ family and/or responsible parties may provide wipes based on their preferences. Interviews of residents did not address any concerns regarding incontinent supply (diapers wipes and creams). During facility inspection, LPA Alvizar observed incontinent supply closet and reviewed facility hygiene supply. The facility has sufficient quantity and variety of the hygiene items. A review of facility records verified the information revealed from the staff. Based on inspection, observation, interviews and record review, there is an insufficient information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. Allegation 2: Staff do not ensure that resident has an adequate supply of medication while in care. It was alleged that resident #1 (R1) ran out of hypertension medication, nobody refills order or request order from the doctor. An interview of Administrators revealed that they are conscious of providing medication to residents. The medication refill is once a month. They check the medication supply periodically and when it gets low, they reorder or refill the medications. Upon arrival, they review new orders and if something is missing, staff reports to pharmacy, and they send it right away. Four (04) out of (04) staff verified the information received from the Administrator. They indicated that they review, log, and prepare all medication immediately after receiving from pharmacy. At times, if needed they request emergency medication supply for new residents. The request to the doctor can be made by phone, fax or via- text. The residents interviewed during this investigation, did not express any concerns regarding their medication assistance, W1 who was private caregiver for one of the residents stated, that they did not notice any problems with medication assistance. A review of medication records and medication supply did not reveal any information to support the allegation. Based on interviews, available evidence, observation, and records reviewed there is not enough corroborating information to support the allegations. Although the allegations may have happened or is valid, there is no supporting evidence to determine validate the complaint. Therefore, the allegation is deemed unsubstantiated at this time. No immediate health and safety hazard were noted during this visit. An exit interview was conducted, and a copy of report was issued.