complaint·April 7, 2022

Allegation: Staff mismanaged resident's medications It is alleged that staff have mismanaged residents’ medications. LPA reviewed medication administration records and found no issues in the files reviewed. LPA spoke with administrator, who states there have been no issues with medication for residents. LPA spoke with residents (R1-R5) regarding the allegation. Of those interviewed, all five stated there have been no issues with their medications. LPA spoke with staff (S1-S5) and of the staff questioned, five out of five stated there have been no issues with residents’ medications. LPA also interviewed witnesses (W1-W3) and all three stated there were no issues with residents’ medications. Based on information gathered, the department did not find sufficient evidence to support allegation the allegation. Allegation: Resident's hygiene needs are not being met. It is alleged that residents are not being bathed or groomed. LPA reviewed weekly shower schedule for residents, which show that most residents get one to three showers a week. LPA spoke with residents (R1-R5) regarding the allegation. Of those interviewed, all five stated they do not require assistance with their ADL’s. LPA spoke with staff (S1-S5) regarding allegations. Of the staff questioned, five out of five stated a good majority or the facility residents receive assistance with their bathing and grooming, and five out of five also stated that all residents are bathed and groomed according to their care plan needs. LPA interviewed witnesses (W1-W3) regarding the allegations and two out of three stated residents received assistance with bathing and grooming, with the last being independent. Based on information gathered, the department did not find sufficient evidence to support allegation the allegation. Allegation: Staff are not allowing residents to have visitations. It is alleged that facility is not allowing residents to have visitors. LPA spoke with administrator David Cole, who states because facility is a memory care and due to the physical size of building, visitation is on patio outside or in residents’ room. It is one to one and visitor must wear a mask, if not vaccinated must visit outside. LPA spoke with residents (R1-R5) regarding the allegation. Of those interviewed, all five stated they are allowed visitors and there have been no issues with visitation. LPA spoke with staff (S1-S5) regarding allegations. Of the staff questioned, five out of five stated residents are allowed visitation. LPA interviewed witnesses (W1-W3) regarding the allegations and three out of three stated residents are allowed visitation. Based on information gathered, the department did not find sufficient evidence to support allegation the allegation. The Department’s investigation consisted of an inspection of the facility, observation, analysis of facility records and interviews conducted and found no evidence to support the allegations: “Residents threaten another resident in care,” “Facility staff refusing to give medications to resident, ”Staff mismanaged resident's medications”, ‘Resident's hygiene needs are not being met”, “Staff are not allowing residents to have visitations.” 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 . An exit interview was conducted, a copy of this report left with Rommelyn Miranda.