complaint·July 12, 2022

It is also alleged that staff are not following the resident’s dietary needs. Interviews with residents and document review of resident files indicated that staff are providing meals that do not follow their dietary needs. Resident interviews indicated diabetic residents are receiving meals that do not follow the diabetic meal plan. Staff interviews indicated that a diabetic diet consist of no sugary foods or drinks only. Document review indicated diabetic diets should not include sugary foods or drinks, processed meals, white carbohydrates (white bread, rice, and pasta), and higher-fat cuts of meat. It was found that staff do not have full knowledge of what a diabetic diet consist of, therefore based on interview and record review the allegation, Facility does not provide food to meet the nutritious needs of the resident in care,” is deemed substantiated. It is alleged that insulin is being administered by staff who are not a skilled professional. Interviews with residents indicated R1 is not able to administer their own insulin and staff #1 (S1) administers the insulin. Interviews with the Administrator indicated S1 worked in a skilled nursing facility and was trained on insulin administration but does not have the proper certifications. LPA reviewed the staff files and did not find a evidence that S1 is a skilled professional, but LPA did find staff received training 1/31/22 from a registered nurse on how to administer insulin injections. It was found that the facility is not following Title 22 regulation and insulin is being administered to residents by staff who are not a skilled professional, such as a certified nurse. Therefore, based on interviews and file review the allegation, “Resident’s insulin is not being administered by a nurse as prescribed by the doctor,” is deemed substantiated. Exit interview conducted. Citations issued, appeal rights and copy of report delivered to Administrator.