complaint·May 24, 2021

The investigation revealed the following: Regarding allegation: Resident sustained unexplained injuries while in care. It is alleged resident has bruises and open sores on resident's legs. During facility's tour LPA observed 2 non-ambulatory and 1 ambulatory residents in care. Interviews with 2 out of 3 residents stated caregiver assist with everything and 1 out of 3 residents was unable to answer due to cognitive skills. Interview with administrator/caregiver stated to follow plan of care for the residents and that 1 resident is receiving Hospice care and currently receiving wound care, per regulations a facility can retain a resident with injuries if resident is receiving services from a Hospice agency or Home Health Care. Documents review determined 1 out of 3 residents is receiving Hospice care provided Monday through Friday including wound care. Based on LPA's interviews and documents review conducted the preponderance of evidence standard has been met. Therefore the above allegation(s) are found UNSUBSTANTIATED. Regarding allegation: Facility staff is not ensuring that resident eats an adequate amount of food. It is alleged that resident is not eating. During interviews with 2 out 3 stated to receive 3 meals a day and "all the food I like" and 1 out of 3 residents was unable to answer due to cognitive skills. Interview with administrator revealed facility provides 3 meals a day and 2 snacks. During facility's tour LPA observed sufficient food; 2 days of perishables and 7 days of non-perishables for 3 residents. Document review of food options revealed facility provides different food options that include protein, grains or starch, vegetables, dairy, and fruits or juice daily. Based on LPA's interviews, observation, and documents review conducted the preponderance of evidence standard has been met. Therefore the above allegation(s) are found UNSUBSTANTIATED. Regarding allegation: Facility staff did not dispense medication as prescribed. It is alleged resident is being given medicines for no reason. During interviews with 2 out of 3 residents it was revealed residents receive medication based on their prescription. 1 out of 3 residents was unable to answer due to cognitive skills. Interview with administrator revealed medication is provided to the residents by the administrator and follows the prescription orders. Documents reviewed revealed 3 out of 3 residents have been prescribed medication by a physician and a centrally store medication sheet is kept at the facility. Facility training/in service were provided on 1/5/20 Topic: Dementia/Medication and on 7/7/20 Topic: Medication Rights to facility's staff. Based on LPA's interviews and documents review conducted the preponderance of evidence standard has been met. Therefore the above allegation(s) are found UNSUBSTANTIATED. (CONTINUED LIC9099C) Regarding allegation: Facility staff are not assisting resident with transfers. It is alleged staff leave resident in bed all day. During facility's tour LPA observed 2 ambulatory and 1 ambulatory residents in care. Interviews with 1 out of 3 residents stated caregiver assist with transferring from bed to wheel chair, however resident stated "I don't leave my bed", resident chooses to stay in bed. 1 out of 3 residents stated not to required assistance to transfer, and 1 out of 3 residents was unable to answer due to cognitive skills. During interview with administrator/caregiver it was revealed 1 resident is under hospice and when assisted to wheelchair, resident requests to stay in bed. Based on LPA's interviews and documents review conducted the preponderance of evidence standard has been met. Therefore the above allegation(s) are found UNSUBSTANTIATED. Regarding allegation: Facility staff are isolating resident. It is alleged resident's room has no windows and resident has been isolated since arriving at the facility. During facility's tour LPA observed 3 residents bedrooms and each room had a large window which is operable. LPA observed ambulatory residents in different areas of the home. Interviews with 1 out of 3 residents revealed resident choose to be in bed and bedroom, and caregivers provide care and meals for resident. 1 out of 3 residents stated caregiver assists with everything resident needs and 1 out 3 residents was unable to provide an answer due to cognitive skills. Interview with administrator/caregiver revealed staff allows visitors and follows visitation protocol due to current situation surrounding COVID 19 and staff performs ADLs every two hours for residents. Based on LPA's observation, interviews, and documents review conducted the preponderance of evidence standard has been met. Therefore the above allegation(s) are found UNSUBSTANTIATED. Exit interview was conducted with Yelena Amirjanyan - administrator, and a copy of the report was email for signature.