complaint·February 14, 2024

Continued LIC9099-C page 2 Allegation #1: Staff mismanaged resident's medication. Upon investigation, both staff members (S1-S2) and residents (R2-R6) have reported comprehensive adherence to medication management protocols. It is asserted that all medications are dispensed strictly in accordance with physician orders. Furthermore, S1-S2 has confirmed that Resident 1 (R1) received her medication as prescribed. The facility ensures all medications are appropriately labeled, and securely stored in a locked cabinet within the office area, thus inaccessible to residents without proper authorization. Notably, there is no documentation from a physician suggesting R1 is authorized to self-manage her medication. Based on these observations, both staff and residents (S1-S2 and R2-R6) refute the allegation of medication mismanagement. Allegation #2: Staff failed to meet resident's needs. Regarding Allegation #2, which posits that staff failed to meet the resident's needs, a thorough investigation has been conducted. According to statements from staff members S1-S2 and residents R2-R6, it has been consistently reported that the resident's daily care needs are being met satisfactorily. These parties have confirmed that the staff is providing adequate care and supervision, highlighting the staff's competence and specialized training to fulfill the necessary services for residents. Furthermore, it was mentioned that staff members undergo ongoing training to maintain high standards of care. It has been noted by S1 that prior to the resident's admission to the facility, the individual was briefly in hospice care. The decision to discontinue hospice services was made by the hospice provider, indicating that the resident no longer required such care. It was also observed that the resident, who has access to a walker, is capable of ambulation without it and was not dependent on oxygen gas, despite being a heavy smoker. This detail is pertinent as, typically, hospice care provides oxygen support when necessary, which would be retracted once a resident exits hospice care. S1 has emphasized that the resident's needs and the services provided are clearly outlined in their admission agreement. The staff's adherence to Title 22 Regulations, along with facility policies and procedures, ensures that care standards are consistently met. See continued LIC9099-C page 3 Continued LIC9099-C page 3 Based on the evidence and statements provided, S1-S2 and R2-R6 have collectively refuted Allegation #2, asserting that the staff has not failed to meet the resident's needs. Allegation #3: Resident was financially abused while in care. In response to this, allegation interviews were conducted with both staff members (S1-S2) and residents 2-6 (R2-R6). The collective feedback from these interviews unanimously indicated residents are not financially abused while in care. S1-S2 and R2-R6 stated residents handle their owed debit cards and funds and staff do not handle resident's debit cards. S1-S2 stated staff did not make any online purchases from a resident's debit card. (R2-R6) expressed their satisfaction with living at the facility, highlighting the respect, dignity, and quality of care they receive. They also commended the facility for providing a secure, healthful, and comfortable living environment and they were happy. S1-S2 refuted the allegation, reinforcing the commitment to safety and well-being upheld at the facility. Allegation #4: Staff failed to provide adequate transportation for residents. In response to concerns about transportation, it has been clarified by S1-S2 and R2-R6 that the facility offers complimentary transportation services for residents requiring assistance. Access to transportation encompasses family support and arrangements made by the Licensee/Administrator to ensure residents' mobility needs are addressed. S1 has taken responsibility for escorting R1 to medical appointments, shopping, and other activities. This concerted effort by staff and the administration to provide comprehensive transportation solutions is affirmed by S1-S2 and R2-R6, thereby refuting the allegation of inadequate transportation provision. Investigation revealed the following: Interviews conducted with staff members S1-S2 and residents R2-R6 have consistently demonstrated that there is no mismanagement of residents' medication by the staff. It has been affirmed across the board that the daily needs of the residents are being adequately met by the staff. S1-S2 and R2-R6 stated that there have been no instances of financial abuse of any residents by the staff members or another resident. See continued LIC9099-C page 4 Continued LIC9099-C page 4 In terms of transportation, it was highlighted that the facility provides complimentary transportation services to residents in need. This ensures that all residents have access to necessary external appointments or engagements, irrespective of their personal transportation arrangements. Residents R2-R6 confirmed their access to this service, noting that family members and representatives also contribute to their transportation needs when required. During the comprehensive interviews with both staff members S1-S2 and residents R2-R6, all allegations regarding medication mismanagement, neglect of residents' daily needs, financial abuse, and inadequate transportation services have been categorically denied. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099, and LIC9099-C, was provided to Licensee/Administrator Najma Shaheen . There were no deficiencies cited. Exit interview conducted.