complaint·March 28, 2024

The investigation revealed the following: Regarding the allegation: Staff not provided medications as prescribed. It is being alleged that a resident’s medications were not being provided in a timely manner as prescribed. LPA Spaeth interviewed one (1) out of five (5) residents who stated they received medications in a timely manner as prescribed by their physician. Three (3) out of the five (5) staff members unanimously confirmed medications are distributed in a timely manner as prescribed by the physician. Two staff members were unavailable for interviews. LPA also reviewed the medication logs for two (2) out of the five (5) residents at 10:20 am until 11:00 am and there were no errors. LPA reviewed a previous resident’s medication logs and did not observe any issues. Regarding the allegation: Residents being left in soiled diapers. It’s being alleged a resident is left in their bed all day in their soiled diaper and developed pressure sores. The three (3) out of five (5) staff members interviewed unanimously stated a resident is never left in their soiled diaper for an entire day. All three (3) staff members confirmed they check diapered residents every two hours. During LPA’s tour of the facility, LPA checked each room and did not observe a soiled resident laying in their bed. LPA also reviewed a previous resident’s hospice records which did not state the resident had bed sores. Regarding the allegation: Residents not being provided adequate food service. It’s being alleged that a resident was not provided enough food during lunch and asked for additional food because they were still hungry. One (1) resident out of the five (5) residents confirmed they receive enough food to eat at each meal. The resident also confirmed staff will give an additional helping if requested. All three (3) staff members out of five (5) confidently confirmed residents are provided enough food at each meal. All three stated there is never a shortage of food. During LPA’s visit on 3/27/2024, LPA observed the lunch meal consisted of ham sandwich, salad, and fruit. LPA also observed a two-day supply of perishable food and a seven-day supply of non-perishable food available at the facility. Regarding the allegation: Resident(s) not being provided with activities. During LPA’s visit on 3/27/2024, LPA observed two residents participating in a coloring and word search activity. LPA Spaeth also observed a staff member was providing an exercise instruction to a resident. One (1) resident confirmed activities are provided every day and the three (3) out of the five (5) staff members stated various activities are provided each day. Based on records reviewed, interviews, and LPA’s observations, the four allegations indicated above are unsubstantiated. Exit interview conducted and a copy of the report was given.