complaint·October 23, 2024

reports and other documents obtained from the facility. During this visit at 1:45PM De Luna and LPA conducted a physical plan tour. Between 2:00PM – 3:30PM LPA conducted interviews with facility staff and nine (09) out of ninety-three (93) residents. LPA asked questions relevant to the nature of the complaint. At the time of investigation, R1 was no longer at the facility. 1.) Staff did not notify resident's responsible party of a change in condition. It was alleged that R1’s health declined, and staff never told R1’s responsible party about changes in R1’s overall health condition. Interview of facility staff revealed that staff always monitor resident's health conditions and notify resident’s responsible party if changes were noted. A review of incident report reveal that on July 31, 2023, while R1 was at an overnight stay with family, it was noted that R1 had a change of mental and physical condition. Residents interview indicated that staff always call their responsible party when they are sick and go to the hospital. Based on interviews and records review there is not sufficient information to support this allegation. Thus, this allegation is deemed to be UNSUBSTANTIATED at this time. 2.) Staff did not administer resident's medications as prescribed It was alleged that Resident #1(R1) was not given medication as prescribed by physician. Staff interviews reveal that medications are always dispensed to residents as per physician order and prescription. Staff indicated that R1 sometimes refused to take medications. A review of incident reports involving R1, revealed that that at times R1 was getting agitated and refused to eat, drink, and take medication. The report verified the information received from facility staff. A review of R1’s Medication Administration Record supported the information received from staff. Residents interview revealed that staff do administer medications as prescribed and on time. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Continue on LIC 9099c 3.) Staff did not assist resident with feeding It was alleged that R1 needed feeding assistance and staff did not provide it. Staff interviews reveal that R1 did not need feeding assistance. Staff indicated that R1 was able to self-feed. A review of R1’s Physician Report, capacity for self-care record verified the information received from facility staff. Residents indicated that staff do assist and supervise resident during meal times. Based on interviews and record review, there is insufficient information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. 4.) Staff did not ensure resident's hygiene needs were being met It was alleged that R1 needed toileting & bathing assistance and staff did not provide it. Staff interviews reveal that R1 was capable of self-care and did not need hygiene assistance. However, R1 needed bathing supervision but was refusing the assistance. Physician Report, capacity for self-care record verified the information from facility staff. Facility documents indicated that R1 was receiving bathing assistance on a weekly basis. However, sometimes R1 would refuse staff assistance. Residents interview revealed that staff are always assisting residents and have not seen residents with hygiene needs not being met. Based on the interviews, information obtains and record review, this allegation is deemed unsubstantiated at this time. No immediate health and safety issues were noted. Exit interview was conducted and copy of was provided.