complaint·April 21, 2022

Allegation: Staff failed to meet resident's medical needs. During this investigation, LPA interviewed Staff #1 through Staff #5. LPA also interviewed Resident #1 (R-1) and reviewed R-1’s file and obtained relevant documentation. (3) out of (5) staff interviews revealed that R-1 manages their own medication. (3) out of (5) interviewed Staff indicated they have a copy of R-1’s physician orders for medication including R-1’s oxygen order (concentrator and portable). Per (3) out of (5) staff interviews, R-1’s oxygen (portable) is delivered weekly by a medical supply company. Interviewed Staff indicated they do not “force” Residents to take any medication. R-1 indicated R-1 manages their own medication as well. Staff and Resident interview do not corroborate this allegation. Allegation: Staff are not allowing visitors. During this investigation, LPA interviewed Staff #1 through Staff #5. LPA also interviewed Resident #1 (R-1). (4) out of the (5) staff interviews revealed that on 04/13/2022 R-1 received a visit from a family friend which took place outside (patio) for approximately 2 to 3 hours. Staff interviews revealed that R-1’s visitor became upset when asked to provide status of COVID-19 vaccination and/or negative COVID-19 test results. Per staff interviews, R-1’s visitor was very upset in which the facility was unable to offer a COVID-19 antigen test. S-2 indicated S-2 spoke to R-1’s family friend the following day and COVID 19 antigen testing was discussed. Per S-2, R-1’s family friend did not come in for testing and has not visited R-1 since 04/13/2022. R-1 indicated the family friend visited R-1 on 04/13/2022 and the visit was outside (patio) for approximately 3 hours. Visitation was not denied as the visit took place in the patio area of this facility. Interviews do not corroborate this allegation. Refer to LIC 9099C for the continuation of this report. Allegation: Staff failed to provide resident with a comfortable environment. During this investigation, LPA interviewed Staff #1 through Staff #5. LPA also interviewed Resident #1 (R-1). Room relocation: (4) out of the (5) staff interviews revealed that R-1 was offered different rooms for relocation as R-1 indicated R-1’s roommate sleeps during the day time, is awake all night and disturbs R-1. R-1 also indicated staff offered R-1 different rooms, however, R-1 did not like the rooms being offered. Laundry services: (5) out of (5) interviewed staff indicated residents’ clothes are washed separately from other residents. Interviewed staff indicated each resident has their own hamper. LPA was provided with a staff lesson plan/training that was conducted with Staff which specifically covers personal laundry procedures and states “laundry will be washed separately”. Interviewed staff indicated R-1’s roommate is not left wearing soiled/dirty diapers all night and that staff conduct rounds every (2) hours. However, staff do not keep a log of the rounds that are being conducted. Interviewed staff indicated they have not observed nor received any complaints in regards to resident being left soiled. LPA toured R-1’s bedroom and did not smell any strong odors. Per, interviews and per observation, this allegation cannot be corroborated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted, a copy of this report and Appeal Rights were provided to Carlos Lara.