Complaint·June 14, 2023

It is alleged resident #1 (R1) has to purchase their own food because the facility does not serve good quality meats and there is never any milk, eggs, and/or coffee at the facility. To investigate this allegation LPA toured the kitchen and viewed the stored items in two out of two refrigerator, one deep freezer and reviewed the meal calendar. LPA observed frozen meat from the butcher section and prepaid meats. LPA also observed eggs, milk and eggs in the refrigerator and coffee in the kitchen cabinet. Based on observation this allegation deemed Unsubstantiated. An exit interview was conducted, and a copy of this report was provided. LPAs interview with the administrator revealed the administrator was away on vacation for the month of May and this was confirmed by LPA's previous visit made on 05/03/2023. Administrator confirmed no appointments have made due to issues with R1's insurance. Administrator states they are not aware of any staff arranging appointments for R1. Furthermore in the interview with R1, R1 stated they do not feel comfortable or safe going to appointments without enough portable oxygen. Lastly interview with R1 revealed that they recently missed an appointment due to an appointment at 1:30 p.m. and staff arriving to the facility to pick them up at 1:15 p.m. Administrator also confirmed staff arrived between 1:13 p.m. -1:15 p.m. Based on interviews and record review this allegation is Substantiated. Allegation #2: Facility did not arrange, or assist in arranging, for transportation of resident(s) to and/or from hospital. It is alleged that on 5/28/2023 R1 was discharged from the hospital and no transportation or arrangement was made to have him return to the facility. To investigate this allegation at approximately 11:00 a.m. LPA Rios conducted interviews with residents and Administrator. At 12:00 p.m. LPA reviewed resident records and obtained documents relevant to this investigation. Records revealed R1 was discharged from the hospital at 1:48 a.m. R1 stated the hospital was trying to contact the facility repeatedly but were unable to reach anyone. R1 had to make arrangements with a friend and did not arrive to the facility until approximately 7:30 a,m, Furthermore Administrator confirmed the hospital had contacted his personal phone number while he was on vacation and designee was out of town. Based on interviews and record review this allegation is Substantiated. Deficiencies cited (refer to 9099-D).Copy of this report and appeals provided.