complaint·May 14, 2025

Regarding the Allegation : Staff did not meet a residents indwelling urinary catheter needs while in care. This complaint alleged that the facility did not fix or replace R1 catheter that was dislodged. Record review indicate the following: Admission agreement does not indicate that the facility is licensed to care for resident with catheter needs. Physician report indicates that R1 has health issues. Interviews indicate the following: 5 out of 5 staff deny the allegation. 5 out of 5 staff indicate the facility is not licensed or have staff that can take care of residents with catheter needs. 5 out of 5 staff indicate that home health care or hospice takes care of resident with catheter needs. R1 indicates that R1 does not remember having any issues or being taken to the hospital. 7 out of 8 residents indicate no need for home health care of hospice to take care of their needs. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not meet a residents indwelling urinary catheter needs while in care” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff did not provide adequate transportation for a resident. This complaint alleged that the facility did not provide transportation for R1 to be taken to the hospital. Record review indicate the following: Admission agreement indicates page 4-part g “transportation” we will make available to residents or otherwise assure the provision of scheduled transportation to the nearest appropriate health facilities for medical and dental appointments. Reviewed S5 written statement for the incident that happened on 05/10/2025. S4 indicates that R1 was having health issues and S4 called 911. S4 indicates that the fire department refused to transport R1 for a non-emergency call. Interviews indicate the following: 5 out of 5 staff indicated that the facility does supply residents with transportation to the hospital, doctor office or dentist office. 5 out of 5 staff indicate that the fire department refused to transport R1 on 05/10/2025 for a non-emergency call. R1 does not remember being transported to the hospital. 7 out of 8 residents indicate that the facility does supply them with transportation to the hospital or for medical needs. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not provide adequate transportation for a resident” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report were provided to the Manager Michele Brown (S1).