complaint·August 16, 2024

Allegation(s): Staff yelled at resident in care. The investigation revealed the following: Regarding the allegation " Staff yelled at resident in care,” it is being alleged that a nurse yelled and interrupted resident #1 (R1). Eight (8) out of (8) eight staff interviews indicated that they have not witness staff yelling at residents. Eight (8) out of (9) nine resident interviews indicated that they like the staff and have never been yelled at. Regarding the allegation “Staff yelled at resident in care,” based on interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. Allegation(s): Staff does not ensure resident is administered medications. The investigation revealed the following: Regarding the allegation "Staff does not ensure resident is administered medications,” it is being alleged that Resident #1 (R1) did not receive R1’s noon medication on 07/13/24. One LVN, Two MedTech, and One Caregiver interview indicated that medication is passed out in the dining hall and staff will go to residents’ room if they miss medication at mealtimes. Staff #5 (S5) indicated that S5 gave R1’s medication in R1’s room on 07/13/24. S5 stated that S5 observed R1 take R1’s medication. Record review revealed that S5 had a technical issue with scanning R1’s medication and S5 indicated that the medication record is blank because of the technical issue. Seven (7) out of (9) nine resident interviews indicated that staff have not forgotten to give them medication. Regarding the allegation “Staff does not ensure resident is administered medications,” based on record review and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. Continue LIC9099-C. Allegation(s): Staff does not follow resident's dietary orders. The investigation revealed the following: Regarding the allegation " Staff does not follow resident's dietary orders. ,” it is being alleged that staff has not adhered to Resident #1’s (R1) dietary restrictions as of 07/18/24. Record review revealed that the facility’s menu offers a variety meal and beverage options that meet R1’s dietary restrictions. Two (2) out of (9) residents do have a dietary restriction and indicated that the staff meets their needs. Six (6) out of (9) nine residents do not have any dietary restrictions and indicated that they are satisfied with their meals and indicated that alternatives are provided. Eight (8) out of (8) staff interviews indicated that the facility provides alternatives to residents who have dietary restrictions. The Cook indicated that residents can have cranberry or orange juice, water, ice tea, hot tea, baked chicken, fish, tuna, mayo, and/or mustard as alternatives. Regarding the allegation “Staff does not follow resident's dietary orders,” based on record review and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. Allegation(s): Staff does not ensure resident's room is clean. The investigation revealed the following: Regarding the allegation "Staff does not ensure resident's room is clean,” it is being alleged that housekeeping services was not provided on 07/11/24, 07/12/24, and 07/14/24. Four (4) staff interviews, including one Housekeeper, indicated that housekeeping services are provided daily, and Resident #1 (R1) room is clean. Eight (8) out of (9) nine resident interviews indicated that housekeeping does some daily sweeping, mopping, taking out trash, and cleaning the bathroom. Eight residents also indicated that housekeeping changes their beddings and provides fresh towels if needed or at least twice a week. Regarding the allegation “Staff does not ensure resident's room is clean,” interviews, the Department found no evidence to support the allegation mentioned above. Continue to LIC9099-C. 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, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. An exit interview was conducted and a copy of this report was provided to the Executive Director Michael Mendoza.