complaint·May 17, 2023

PAGE 2 Regarding the allegation: Facility restricted visitation It was alleged that the facility restricted visitation by asking Responsible Parties (RP) not to visit. Interviews with staff, residents, and responsible parties of residents who reside at this location confirmed that at one time there were visitation restrictions due to COVID-19 however, facility did not impede from residents having visitation. Families were told that they can visit as they wish and that leaving a resident for a few days to acclimate without family visitation was not discouraged and left at the discretion of the family. The facility has set up a patio area for visitation outside the facility, meaning families could visit and see a resident in the patio if necessary. An interview with the complainant did not confirm claims that visitation was denied by the facility and that while the RP visited Resident #1 (R1) every day, they would often sit outside in the patio after dropping things off. The administrator confirmed that a conversation was had with the RP about allowing the resident to acclimate to the facility without visitation, but it was not required, nor did it imply that they were not to be visited by the RP. Residents communicated minimal concerns in having reasonable visits with visitors. Resident interviews revealed no difficulties in speaking to or seeing their family and had not experienced any limitations outside of local restrictions. Staff denied claims that anyone has been restricted visitation and visitors are allowed. Based on the information obtained, while this may or may not have happened there is insufficient evidence to support the claim that the ‘facility restricted visitation’. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Facility failed to notifiy residents' responsible party of change of condition It was alleged that the facility failed to inform the responsible party (RP) of Resident #1 (R1s) change in medical condition. It was reported that R1’s family was not informed of R1 having a change in condition within the first few days of admission. Interviews conducted with RP, revealed that R1 was at a skilled nursing facility prior to their admission to this facility as R1 had fallen at their personal home and suffered a head injury. Facility files reviewed revealed that R1 fell on 10/4/2022, to which staff took R1’s vitals, applied an ice pack and reported that they seemed okay. **Continued 9099-C** PAGE 3 The Administrator provided documentation confirming that R1s RP was informed of the changes. It was also discovered that R1’s RP had visited R1 at the facility on 10/5/2022 and at that time, R1 was sleeping but seemed strange, however still appeared okay. Additionally, R1’s family member had requested that facility staff monitor R1 and provide them with updates to which they did. On 10/6/2022 family visited R1 and noticed that R1 was not their usual self. However, staff indicated that R1 was only sleeping and was okay. Staff communicated that any changes to R1’s condition were communicated to the RP as they visited every day and were very active in R1’s care. Furthermore, interviews revealed that on 10/8/2022 R1 had a change in vitals and a decline in their condition at which time 911 was called and the RP was notified. The RP additionally requested R1 be sent to a religion specific hospital. Based on interviews and record review, while this may or may not have happened the Department does not have sufficient evidence to support the allegation of “facility failed to notify residents’ responsible party of change of condition”. Therefore, the allegation is deemed Unsubstantiated at this time. Regarding the allegation: Facility failed to treat resident with dignity and respect On the allegation of ‘facility failed to treat residents with dignity and respect’, the reporting party (RP)’s concern is that Resident #1 (R1) was screaming when touched or approached by staff and seemed terrified. To investigate the allegation the LPA’s conducted resident interviews and staff interviews. The residents’ interviews revealed that they feel respected and cared for here, and they are treated with dignity and respect. Resident interviews denied claims that they have ever been force fed, hurt or left unattended by staff. Residents’ interviews revealed that they have never witnessed staff treat residents inappropriately. Interviews with staff denied claims that residents have been has disrespected or failed to be treated with dignity and respect. Based on the information obtained through interviews, while this may or may not have happened there is insufficient evidence to support the allegation that ‘facility failed to treat residents with dignity and respect’. Therefore, this allegation is Unsubstantiated at this time. No deficiencies cited at this time. A copy of this report was issued.