Complaint·September 18, 2024

It is alleged that R2 is not receiving the appropriate blood pressure and diabetes medications. R#2 is not receiving appropriate cancer care and has been mislabeled, because of dementia and subsequently placed on hospice care. LPA interview ten (10) out of one hundred – four (104) residents including Resident’s R1 and R2. R1 agreed with the allegation and R2 did not respond. The other resident that where interview revealed that they did not have any concerns about the allegation. Administrator and other staff indicated only R1, who is R2’s spouse, orders R2’s medication refill and when medication arrives to facility, Med – Techs takes it to room and R1 receives it. Staff interview revealed that R1 does not allow Med – Tech’s to administrator R2’s medication. Prior to this visit LPA Alvizar-Ettima reviewed facility records including Physician Report and Preplacement Appraisal Information. The information revealed from records supported the information provided by the facility personnel. According to record review R2’s primary diagnosis is unspecified dementia and R2 currently is under hospice. Based on interviews and record review, there is no pertinent information to support the allegation. Therefore, the allegation are deemed UNSUBSTANTIATED at this time. 2.) Staff are not ensuring that resident's dietary restrictions are being met. It is alleged that food they receive does not honor their dietary restrictions and the quality of the food is poor. LPA Alvizar - Ettima interview with Resident (R1) who stated that R2 cannot have citrus food and staff continue to provide it. R2 did not provide a response to the allegation. Interview with eight (8) out of one hundred and four (104) residents did not have any concerns regarding quality and variety of food served at the facility. Six (6) out of the eight (8) residents indicated that the food was good, and they liked the chicken and fish. Administrator indicated that facility staff are ensuring that they follow R2’s (No Added Salt) dietary restriction. During initial inspection LPA observed the “AL Special Diet” list posted in the kitchen board. The list identifies all residents that are under special medical diet. Prior to this visit LPA Alvizar-Ettima reviewed facility records including “AL Special Diet”. According to record review R2 is in a “no added salt diet”. There was no dietary restriction for “citrus food”. The information revealed from records supported the information provided by the facility personnel. Based on interviews and record review, there is no pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Cont. LIC 9099c 3.) Staff do not respond to resident(s) requests for assistance in a timely manner. It is alleged that staff taken hours to respond to calls for assistance and due to insufficient staff to meet appropriate care needs of residents, there is a long delays in obtaining assistance. During inspection conducted at the time of initial visit, LPA randomly selected six (06) out of one hundred - four (104) residents and the call buttons were tested in their rooms. All call buttons appeared to be functional, and LPA observed staff answering to call between two (2) to three (3) minutes. LPA Alvizar - Ettima interview with Resident (R1) revealed that staff does not respond to the call button on time. R2 did not provide a response to the allegation. Staff interviews reveal that they do respond to resident(s) request for assistance in a timely manner. The Call LIght system was recently upgraded. Administrator indicated that R1 sometimes refuses assistance from staff for themselves and R2, because R1 only requested certain staff to assistance. Interviews with eight (8) out of one hundred – four (104) residents indicated that staff do respond to their request for assistance. Prior to this visit LPA Alvizar-Ettima reviewed facility records including “Important Notice - Call Light System will be upgraded. The information revealed from records supported the information provided by the facility personnel. Based on observation, interviews and record review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazard is noted during this visit. Exit interview is conducted and copy of report was provided to Administrator.