complaint·October 5, 2023

Based on interviews and documentation, R1 moved in on 9/15/23 and passed away on 10/4/23. R1 was weak and ate very minimal when admitted to the facility. R1 received home health services and they stated the nurse was aware of the declining conditions. The administrator indicated that a therapist came out to check on the swallowing at one point. The family members also came daily and were informed about R1 not eating. They also tried to feed R1 but was not successful. Staff stated R1 ate very little and later did not want to intake anymore food/supplement. LPA interviewed the family member who was the power of attorney for R1’s medical services. Per the family member, they contacted the doctor and informed of the non-consumption. R1 was later placed on hospice due to the decline in health. The administrator communicated with them often regarding R1’s condition. Family members stated they were pleased with the care provided by all the staff at the facility. They felt the staff were compassionate and took good care of the residents. Staff interviewed stated they will contact the administrator for guidance if they see any change of condition in a resident. If the resident is on hospice, they will notify the nurse. For others, they would contact 911 and seek medical attention right away if necessary. One of the residents interviewed enjoys living here and thinks the staff are great and attentive. 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, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with the administrator. A copy of this report along with the appeal rights were provided.