Complaint·July 16, 2024

Staff did not prevent resident from having bed bugs: To investigate this allegation, LPA conducted an interview with the Executive Director who provided documentation of bed bug inspection and pesticide eradication treatment with pest control vendor Orkin Services. On 02/10/24 Pest control vendor, Orkin Services discovered the three (3) resident rooms having bed bugs and were immediately treated. Additionally, the facility ordered an inspection on R1’s and R2’s room for bed bugs with Bugfree Central Company on 06/05/2023; however, R2 refused the entry to their room for inspection to happen. LPA was also informed that the facility has a signed contract with Orkin to provide services monthly to prevent future bed bugs incident from happening. Based on LPA's interview and record review the allegation is SUBSTANTIATED. Staff are not providing resident with housekeeping services: During the initial visit on 02/20/2024, LPA conducted interviews with staff and residents. Staff revealed they always provide housekeeping services on daily basis from 8:00 AM to 4:00 PM, Monday to Sunday. Staff also confirmed that the facility also provides deep cleaning services at least once a week to all residents in care. Interviews with residents revealed that the facility does not provide daily or deep cleaning services to residents. Moreover, some residents clean their own rooms. Additionally, LPA observed residents’ rooms dirty and unsanitary. Based on LPA's interview and observation the allegation is SUBSTANTIATED. Staff are not transporting resident to appointments: It is alleged that the facility not providing transportation to appointments. LPA's record review revealed that the facility does provide transportation within ten (10) mile radius. Requests for the transportation has to be made 24 hours in advance through the front desk of the facility. Facility staff revealed that there is only one vehicle and one driver available for all residents at the facility. Interview with residents revealed that due to the lack of transportation they missed doctor’s appointments on multiple occasions. LPA was informed that residents were hospitalized since they did not go to their regular doctor’s appointments. Based on the information gathered during this and prior visit, the allegation is SUBSTANTIATED. Continue on LIC 9099C Staff are not meeting resident's dietary needs It is alleged that R1 is on a special diet (Soft Mechanical) that the facility does not provide. LPA conducted interviews with Executive Director and Staff #3 (S3) and it was revealed that the facility does provide required dietary needs to R1; however, R2 refuses the meals provided to R1 as indicated by the primary physician on their physician’s report. Interviews with eight (8) out of ten (10) residents confirmed that the dietary services are followed if necessary and did not express any concerns regarding this allegation. On 07/16/2024, an additional interview with the Executive Chef was conducted and LPAs were informed that the facility provides required dietary service to residents to meet their specific needs. Kitchen staff are informed daily for any changes to a resident’s dietary requirements from the facility nurse. Furthermore, they offer alternatives upon request from a resident. Although, the facility does follow dietary needs of the residents, the facility staff did not take an appropriate action when R2 denied and controlled R1’s food. LPA conducted a review of R1’s file and found no documented evidence that R2 had any legal authority for the purpose of decision making on behalf of R1. Based on interviews and record review, this allegation is SUBSTANTIATED. Staff did not safeguard resident's personal belongings It is alleged that R1’s wheelchair was either missing or stolen at the facility. To investigate this allegation LPA conducted interviews with Executive Director and staff. It was revealed that R2 left their wheelchair out of their room. The facility staff removed the wheelchair for being a potential hazard and placed it in the storage room to safeguard without notifying R1 and R2. Upon R2’s request, the facility returned the wheelchair back to R1. Additionally, during the initial visit on 02/20/2024, LPA observed the wheelchair in R1’s and R2’s room and R2 informed LPA that their wheelchair was returned as soon as they requested. Although facility returned R1’s wheelchair, interviews with eight (8) out of ten (10) residents revealed that that staff did not safeguard other personal items/belongings and were reported missing. Based on interviews and information gathered, this allegation is SUBSTANTIATED. Deficiency cited on LIC9099-D. Exit Interview conducted, appeal rights explained and copy of this report signed and delivered. Staff are not providing resident with a comfortable environment: It is alleged that the facility does not provide adequate cooling in the summer and heating in the winter which is uncomfortable. During the initial visit on 02/20/2024, and today’s subsequent visit, LPAs toured R1’s and R2’s room and random rooms in the facility and found the overall room temperature comfortable enough and compliant to regulation to at least 68 degrees Fahrenheit. Based on LPAs observation during initial visit and today’s visit this allegation is unsubstantiated at this time. Exit interview conducted and copy of this report signed and delivered.