complaint·April 3, 2024

Interview with the licensee revealed R1 did not like to be rotated often due to pain, but staff rotated R1 approximately every two (02) to three (03) hours. Residents interviewed revealed they had no concerns with the care provided by the facility. Based on interviews, staff repositioned R1 sufficiently. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff did not give resident medication as prescribed” it was alleged staff provided R1 double doses of medication. Interviews with S1, the licensee, and residents confirmed the facility does not provide double doses of medications. Staff provide medications at the time prescribed and follow physician orders for “as needed” medications. No residents reported any issues with receiving incorrect amounts of medications. Based on interviews, staff did not provide R1 with double doses of medication. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility night staff were not available to assist the resident” it was alleged staff “was asleep upstairs” and unable to assist R1 at night. Interview with S1 revealed they are on-call at night and available to assist residents if needed. Interview with the licensee confirmed they and S1 assist residents at night if needed. S1 and the licensee further clarified that the facility does not have an upstairs. Interview with residents confirmed staff are available to assist them at night. Residents had no issues receiving care at night. Based on interviews, staff were available to help residents at night. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff did not properly handle resident's medication” it was alleged staff left R1’s medication out and accessible on their nightstand. Interview with the licensee revealed all medications are locked and centrally stored. When R1 requested pain medication, the licensee prepared one nighttime dose in a plastic bag. S1 then assisted with the nighttime dose. S1 and the licensee stated they do not and have not left medications on nightstands or out in the open. Interviews with residents confirmed staff do not leave medication out. Based on interviews, staff properly handled R1’s medication. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff did not meet resident's hygiene needs” it was alleged staff did not assist with R1’s toileting needs. Interview with S1 revealed they changed R1 whenever necessary. The facility also ordered a urinal for R1 to use. S1 stated R1 had no bowel movements during their time at the facility. Interviews with residents revealed they had no concerns about the facility’s incontinence care. Based on interviews, staff met R1’s hygiene needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety risks were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.