complaint·April 20, 2022

The baby powder was not prescribed by any doctor and was provided to the facility by R1's responsible party. The facility was applying baby powder around R1's private area and under R1's belly flap. On 02/12/2022, it is alleged that a nurse from the hospice care agency and R1's responsible party were at the facility and ordered the facility to stop using baby powder on R1. On 02/19/2022, R1's responsible party visited R1 and observed S1 still using the baby powder. It is believed that the baby powder was causing a rash under the belly flap and that is the reason why the facility was asked to stop using it. Interviews conducted with the nurse and case manager from the hospice care agency revealed that they have no documentation stating to stop using the baby powder in their records for R1. Interviews conducted with staff revealed that they stopped using the baby powder under the belly flap area per R1's responsible party request and also placed a sticker on the baby powder bottle that states "don't use under belly". Furthermore, the claim that the baby powder is the reason for the rash is unlikely unless R1 has an allergic reaction to the baby powder. Review of R1's physician report indicate that R1 has no known allergies. On 02/24/2022, the hospice care agency ordered Nystatin and provided it to the facility on 02/26/2022 to use for the belly flap rash. Furthermore, it was also alleged that facility was not providing R1 with the PRN medication Tylenol when it was needed. On 02/23/2022, R1's responsible party took R1 to the doctor and R1 received a tetanus shot. R1 is non-verbal and therefore unable to communicate when in pain. Interviews conducted with staff revealed that they did gave R1 Tylenol on 02/24/2022 at 6:26pm because R1 was refusing to take the medication all day. R1's medication records show that the PRN medication Tylenol was administer on 02/24/2022 6:26pm, 03/06/2022 2:55pm and 8:15pm, and 03/07/2022 5:00pm. Interviews conducted with residents revealed that they have no issues with receiving their PRN or any medication. 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 allegations are unsubstantiated. Exit interview held and a copy of the report was provided.