complaint·March 10, 2022

On 03/10/2022 the administrator and 2 staff denied the allegation, caregiver S1 stated. “Most of R1’s wound are from scratching Themselves. 3 out of 4 residents denied the complaint, R2 stated “I have not heard of anyone getting injured here.” R1 was not available for interview. Witness W1 stated. “R1 is very fragile, their skin breaks down easily due to taking Eliquis. Regarding the allegation, “Resident received injuries while in care.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation, “Staff are not changing residents’ socks.” On 03/10/2022 LPA observed that R1 was wearing a clean pair of socks and had at least 6 pairs of socks in their drawer. On 03/10/2022 the administrator and 2 staff denied the allegation, staff S2 stated “We change residents including R1’s socks daily, R1 has mostly dark colored socks. 3 out of 4 residents denied the allegation, R4 stated “Someone is always here, they always change our clothes .” R1 was not available for interview. Witness W1 stated,” R1 always looked good, I visit always every day. I would know if there were any problem.” Regarding the allegation, “Staff are not changing residents’ socks.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation, “Staff are not ensuring resident drinks enough water.” On 03/10/2022 LPA observed that residents R2 and R4 had glasses of water by their bedside. During record reviews LPA observed that per doctors order R2 is on a Restricted Fluid intake of 1000 ml per day. On 03/10/2022 the administrator and staff denied the allegation, staff S1 stated that “I make sure that each resident has a water bottle by their side.” 3 out 4 residents denied the allegation, R2 stated “I don’t have any complaints about water, they fill up my cup when it gets empty.” R1 was not available for interview. Witness W2 stated, “That is not a problem, R2 cannot drink too much water and is only allowed to take 1000 ml of fluids daily, R2 has had this condition since 2018.” Regarding the allegation, “Staff are not ensuring resident drinks enough water.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation, “Resident developed a pressure injury while in care.” On 03/07/2022 R2’s Home Health records indicate that on 01/17/2022 – “Skilled Nurse assessed patient (R2) with new right buttocks boil that is firm and red.” On 03/10/2022 the administrator and 2 staff denied the allegation, the administrator stated, “R2 never had a pressure injury, R2 had a boil and it’s now healed. On 03/10/2022 3 out of 4 residents denied the allegation, R2 stated “No I do not have any, a nurse comes here and looks after me, his name is Steven.” Witness W2 stated, “I visit often R2 never had pressure injuries, there may be redness here and there but they would tell me about them and they get better eventually.” Regarding the allegation, “Resident developed a pressure injury while in care.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report was provided to Christina Atencio the facility administrator.