complaint·October 1, 2024

Regarding the allegation: Staff are retaining residents that require a higher level of care. It is alleged that the facility staff are not reporting health changes for certain residents that receive hospice care at the facility, the allegation further claims facility staff has not employed CNA (Certified Nurse Assistant) to assist the residents who are on hospice. The facility is an Assisted Living provider, the facility is not required to employ a Certified Nurse Assistant, as per regulations. Three (3) out of three (3) staff interviewed deny the allegation. Three (3) out of three (3) residents interviewed could not corroborate the allegation. LPA interviewed Hospice care residents. According to the physicians reports and hospice assessments, the staff caregivers and Home Health Hospice agencies are communicating residents’ health and forwarding health concerns and issues to the primary physician who determines whether higher level of care is further required. Hospice agencies assigned to the residents come three time per week to assist with showering and incontinent needs, the facility staff assists residents with other grooming and daily living needs. LPA observed home health agencies assisting other residents at the facility. LPA observed facility staff caregivers working with Hospice home care to ensure that hospice residents are comfortable with their needs and services. LPA reviewed Restricted Health Conditions/ Allowable Health Conditions folder, containing residents on hospice, special diets, treatment of healing wounds, residents using insulin, residents using ear and eyes drops, catheters and home health services received by residents and trace logged by the staff. 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 allegation is unsubstantiated. An exit interview was conducted and copy of report was left with the Administrator.