complaint·September 15, 2023

This is an amendment to correct clerical errors observed in the initial report. The findings remain the same. The investigation revealed the following: Regarding the allegation… Facility staff do not allow resident to leave the facility. It is being alleged that staff do not allow the resident to leave without a staff member escorting them. LPA Spaeth interviewed 10 out of 44 staff members in total who stated they have never refused to allow a resident to leave the facility and have never refused to accompany a resident when resident wanted to leave the facility. LPA interviewed 13 out of 110 residents. R13 refused to answer interview questions. 12 residents interviewed unanimously denied the allegation. The residents all confirmed they are allowed to leave the facility. LPA Spaeth reviewed a physician’s report for R13 that states they would benefit from having supervision while in the community. R13’s physician report was later updated to reflect they no longer needed support from the facility while in the community on 3/31/2023. Regarding the allegation, Facility staff did not ensure resident’s prescription was refilled in a timely manner. It is being alleged that the resident’s prescription was not refilled. The Med Tech Supervisor confirmed ordering resident medications in a timely manner. LPA Spaeth reviewed residents Medication Administration Record (MAR) and observed the inhaler as a PRN. The Med Tech Supervisor also stated the prescribed inhaler is available for residents’ use. LPA also observed the inhaler in the med cart for R13. 10 staff members interviewed confirmed residents have never complained about their prescribed medications not being available. 12 residents were interviewed and stated medications were refilled in a timely manner. Regarding the allegation, Facility staff did not seek medical attention in a timely manner. It is being alleged that a resident had an injured hand, but facility staff failed to take the resident to the hospital. 12 residents were interviewed and stated staff have immediately arranged doctor’s appointments when requested, have escorted residents to the hospital, and have called 911 if there is a medical emergency. 10 staff members interviewed confirmed arrangement of doctor’s appointments, escorting residents to the hospital, and immediately contacting 911 when needed. Regarding the allegation, Resident is not receiving mail from facility staff . It is being alleged that mail was sent to a resident, but staff failed to give mail to the resident. Twelve (12) residents confirmed receiving their mail in a timely manner. 10 staff members also confirmed residents are receiving their personal mail. Based on LPA’s record review and interviews conducted the allegations above are unsubstantiated. An exit interview was conducted, and a copy of the report was given.