complaint·February 7, 2024

Investigation was conducted by the Investigations Branch (IB) and completed 10/10/2022 for allegations Resident sustained a fracture while in care and Staff did not seek timely medical attention for a resident. Investigation consisted of interviews with facility staff, nurse practitioner and review of medical documentation. At today's visit at 10:30 AM LPA toured the facility with Assistant Administrator Cynthia Flores and inspected the call lites in Rooms 2, 6, 22, 45, 48, and 63. Interviews were conducted at 11:00 AM with Resident's R 2- R7. In regards to the allegation Resident sustained a fracture while in care, based on interviews conducted by the Investigations Branch( IB) and medical documentation reviewed it was revealed in interviews with staff that R 1 had told staff about unwitnessed falls. R 1 was assessed and staff did not observe any injuries, swelling or redness. Staff still contacted R 1's doctor and R 1's Nurse Practitioner. The following morning at 0915 hours R 1 complained of minor pain and staff promptly contacted the Nurse Practitioner who stated in interviews conducted that there were no bruises/ swelling or redness. R 1 was observed walking and did not complain of any pain. Nurse Practitioner confirmed that staff acted accordingly and reported R 1's condition in a timely manner. Nurse Practitioner also stated that she denied having any complaints or witnessing any Neglect/ Lack of supervision by facility 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 above allegations are UNSUBSTANTIATED. In regards to the allegation, Staff did not seek timely medical attention for a resident, , based on interviews conducted by the Investigations Branch( IB) and medical documentation reviewed it was revealed in interviews with staff that R 1 had told staff about unwitnessed falls. R 1 was assessed and staff did not observe any injuries, swelling or redness. Even though R 1 was not complaining of any pain, and no bruises or swelling, staff immediately contacted Care More Health and requested a medical evaluation. Per Nurse Practitioner the staff immediately notified her of R 1's reporting and condition. Subsequently the Nurse Practitioner evaluated R1 and medically cleared R 1. 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 above allegations are UNSUBSTANTIATED. In regards to the allegation Staff did not ensure a resident was properly fed while in care, based on interviews conducted with staff, and residents R 2- R 7 and information gathered all 6 of 6 resident's interviewed stated they are always fed and get all 3 meals and a snack and stated if a resident does not come to the dining room they will bring food to their room. Interview with Assistant Administrator Cynthia Flores who stated that R 1 did get all her meals and if residents not feeling well they will bring to their rooms. Also stated that R 1 is verbal and had a cell phone to communicate with staff if needed. Staff S 1 stated that they will check in rooms if they are eating and also check in the dining room. They make a list downstairs and check who has received their meals. 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 above allegations are UNSUBSTANTIATED. In regards to the allegation, Resident's call light is in disrepair, based on resident and staff interviews conducted and tour of Rooms 2, 6, 22, 45, 48, and 63, it was revealed that all call lites were operable when tested by the LPA. Staff responded to the call lite for assistance in a timely manner. Interviews with staff who stated that the panel in the office lites up and the staff has a walkie talkie to communicate which room needs assistance. There is also a panel that lites up on each floor that will show which room needs assistance. 6 of 6 resident's interviewed stated that the call button works and the staff respond quickly. Also stated it is easy to use and staff does a good job. 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 above allegations are UNSUBSTANTIATED.