complaint·December 10, 2022

Investigation revealed: Allegation: Facility did not follow resident’s care plan. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA obtained and reviewed hospice care plan for (R1). Care plan for resident (R1) included the teaching of hospice philosophy and purpose to the family through verbalized understanding. Care plan for resident (R1) included teaching caregivers through verbalized understanding positioning, disease process, medication (schedule, side effects, dose, frequency) and hospice on call system. Staff (S1-S3) stated staff does body check and changes the residents every day. Staff (S1) stated staff repositions the residents as necessary according to the care plan. LPA interviewed witness (W3) from hospice agency. Witness (W3) stated there were no concerns during the duration for resident (R1) residing at the facility with staff not following resident’s care plan. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegation. Allegation: Staff denied visitation to resident’s responsible person. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA conducted interviews with residents (R2-R6). The majority of the residents verified there are no concerns with staff denying visitation. Staff (S1-S3) stated staff has no issues with visitation. LPA observed and reviewed sign in visitor logs and verified no concerns with visitations for responsible party of resident (R1). Based on the interviews conducted, observation and records review, LPA was unable to find evidence to s support the allegation. Evaluation Report continues LIC 9099-C Allegation: Resident’s responsible person was denied access to resident’s records. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA obtained and reviewed the “Durable Power of Attorney” and the “Advance Health Care Directive” for resident (R1). LPA verified the Power of Attorney named is witness (W1). Staff (S1) verified witness (W2) is not the Power of Attorney and will only release resident’s records to the named Power of Attorney. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegation Based on LPA’s interviews conducted, observation and records reviews, the preponderance of evidence standard has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.