complaint·March 12, 2025

(continued from LIC9099) Allegation #1: Facility failed to conduct a proper pre-admission appraisal. It was alleged the facility admitted Resident #1 (R1) without knowledge of R1's restricted health condition. LPA's interview with R1 confirmed the use of a catheter. R1 informed LPA facility staff claims they first saw the catheter when R1 was brought into the facility on a gurney. R1 states they were not aware the facility did not know about the catheter as a representative from the facility had visited them in person prior to admittance. LPA's interview with the administrator revealed they did not know about the catheter and had received R1's skilled nursing record the same day the resident was admitted to the facility. According to the administrator they would not have accepted R1 had they known R1 had a catheter. Furthermore, according to the administrator the consultant used for placement assistance had not mentioned the presence of a catheter. According to the administrator they admitted R1 based on the information gathered from the consultant. Interview with the consultant corroborates they visited R1 on behalf of the facility and did not see the catheter bag. The consultant informed LPA they conducted an interview with R1. LPA's review of SNF paperwork confirms R1's use of catheter. LPA's review of the Preplacement Appraisal Information (LIC603) is dated the same date R1 was admitted to the facility. On the LIC603 Services Needed for Toileting, including assistance equipment, or assistance of another person is checked "Yes" with no explanation as to what kind of assistance R1 will need. LPA's review of hospital discharge paperwork after admittance to the facility confirmed resident has been released back to facility without Home Health services on different occasions. According to the administrator, the facility has created a plan to find a suitable facility for R1. Since R1 now qualifies for assistance, the facility is able to assess R1 and place an order for Home Health until a suitable facility is found. Based on record review and interviews, although the facility claims they did not know about the catheter, the consultant used represented the facility when they visited the resident in person. Either the consultant did not conduct a proper functional capabilities evaluation, or the facility did not interview R1 and failed to complete the preplacement appraisal prior to admission. Therefore, this allegation is deemed SUBSTANTIATED at this time. Exit interview conducted. Deficiency cited (refer to LIC9099-D). Copy of report provided. (Continued from LIC9099-A) LPA's interview with R1 confirmed the use of a catheter. R1 informed LPA facility staff claims they first saw the catheter when they were brought into the facility on a gurney. R1 states they were not aware the facility did not know about the catheter as a representative from the facility had visited them in person prior to admittance. LPA's interview with the administrator revealed they did not know about the catheter and had received R1's skilled nursing record the same day the resident was admitted to the facility. According to the administrator they would not have accepted R1 had they known R1 had a catheter. Furthermore, they contacted the Skilled Nursing Facility and attempted to return the resident but could not. According to the administrator the consultant used for placement assistance and the skilled nursing facility had not mentioned the presence of a catheter. According to R1 and the administrator the facility staff do not assist with the catheter because staff at the facility are not appropriately skilled professionals or have been trained by one to assist R1 with their catheter. According to R1 they would prefer to be transferred to a skilled nursing facility. According to the administrator they immediately call 911 to have R1 transported to the hospital when catheter needs arise. R1 confirmed that due to mitigating circumstances, they did not qualify for Home Health services upon release to the facility on one occasion, and the facility staff are not able to provide assistance with restricted health conditions. LPA's review of hospital discharge paperwork after admittance to the facility confirmed resident was released back to facility without Home Health services. According to the administrator, the facility has created a plan to find a suitable facility for R1. Since R1 now qualifies for assistance, the facility is able to assess R1 and place an order for Home Health. Based on record review and interviews although the facility failed to observe R1's use of a catheter prior to admitting them to the facility they have sought medical attention to address R1's catheter needs until a suitable facility is found. Therefore this allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted and a copy of this report was given to the Administrator.