Complaint·September 28, 2023

indi ca ted residents needs are being met. On 09/28/23 at 9:30 am LPA and LPM interviewed residents #2-8 (R 2 -R8) 7 of 7 residents interv iew denied the allegation. LPA and LPM reviewed R1's file and checked physician's orders, medication list ,resident assessment form and pre appraisal form which reveled the re is no documented physician's orders indicating resident requires blood pressure checks and there is no indication that resident has diarrhea for consecutive weeks. Allegation: Staff failed to properly assess resident before accepting. It is being alleged that staff failed to properly assess resident before being ac cepted into the facility. On 09/28/23 LPA and LPM interviewed staff # 1-6 (S1-S6), 6 of the 6 staff interviewed denied the allegation and reported that staff will go out to conduct assessment prior to admission. On 09/28/23 LPA and LPM interviewed residents #2-8 (R2-R8) 7 of 7 residents interview denied the allegation and reported that staff conducted assessment before admission. LPA and LPM reviewed R1's file and ch ecked resident's a ssessment form dated 06/08/2022, individualized service plan dated 06/06/2022, and pre appraisal form dated 11/30/2022 which reveals R1 was assessed prior to admission to facility. A llegation: Staff failed to seek medical attention for resident in a timely manner I t is being alleged that on two different occasions Resident fell and scraped Residents knees and toes and after the incidents Resident waited for an hour for the paramedics team. On 09/28/23 LPA and LPM interviewed staff # 1-6 (S1-S6), 6 of the 6 staff interviewed denied the allegation, during the interview 1 of 6 staff interviewed stated staff recall 2 separate incidents when R1 sustained a f all and facility staff informed R1 they could not provide the medical attention needed and called paramedics to assist. On 09/28/23 LPA and LPM interviewed residents #2-8 (R2-R8) 7 of 7 residents interview denied the allegation and reported staff will assist with medical needs when needed. On 09/28/23 LPA and LPM reviewed unusual incident reports dated 08/19/22, 11/23/22 and 11/28/22, incident reports revealed resident was provided with medical attention following incidents. Allegation: Staff failed to administer resident's medication as prescribed On 09/28/23 LPA and LPM interviewed staff # 1-6 (S1-S6), 6 of the 6 staff interviewed denied the allegation and reported that certified med techs are following Physicians orders. On 09/28/23 LPA and LPM interviewed residents #2-8 (R2-R8) 6 of 7 residents interview denied the allegation and reported medications are being administered correctly, 1 of 7 residents interviewed indicated that some med techs will not administer medications if a resident is late t o med pass. On 09/28/23 at 2:30pm LPA and LPM conducted medication review of 7 residents. LPA did not observe any deficiencies. Allegation: Staff failed to provide appropriate transportation for resident On 09/28/23 LPA and LPM interviewed S1-S6, 5 of 6 staff interviewed denied the allegation, 1 of 6 staff interviewed stated not being sure if the facility provides transportation or not. On 09/28/23 LPA and LPM interviewed R2-R8, 7 of 7 residents interviewed denied the allegation and stated residents obtain transportation as needed. On 09/28/23 LPA and LPM reviewed R1's admission agreement which indicates facility will "plan, arrange and/or provide for transportation to medical and dental local appointments." Allegation: Staff refused to assist resident while in care On 09/28/23 LPA and LPM interviewed S1-S6, 6 of 6 staff interviewed denied the allegation. On 09/28/23 LPA and LPM interviewed R2-R8, 7 of 7 resident's interviewed denied the allegation. 7 of 7 residents interviewed stated staff do not refuse to assist them. Allegation: Staff failed to assist resident with showers On 09/28/23 LPA and LPM interviewed S1-S6, 6 of 6 staff interviewed denied the allegation. 6 of 6 staff interviewed reported that residents shower 2-3xs a week deepening on their care plan. On 09/28/23 LPA and LPM interviewed R2-R8, 7 of 7 resident's interviewed denied the allegation or indicated not requiring assistance with hygiene needs. On 09/28/23 LPA and LPM reviewed R1's file, Pre appraisal dated 11/30/22 indicates R1 requires "help with bathing, hair care, and personal hygiene by staff." On 09/28/23 LPA and LPM reviewed unusual incident reports that indicate resident was provided with shower schedule and resident has been refusing assistance with showers. On 09/28/23 LPA and LPM reviewed refusal of shower notification dated 01/12/23 which indicates resident refused to shower on designated shower day. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted to Assistant Administrator David Hernandez , and a copy of this report was provided.