complaint·September 21, 2023

Allegation: Staff left resident in soiled incontinence briefs. Staff interviews and documentation reviewed revealed that R-1 refuses to allow staff to change R-1’s soiled incontinence briefs. Per staff interviews, R-1 also refuses to allow staff to clean R-1’s room (in general and anything involving incontinence). Per staff interviews, staff ensure that R-1 has plenty of incontinence supplies such as adult incontinence briefs, wipes, ect. (beside R-1’s bed) as R-1 is independent in incontinence care. Resident interviews revealed that R-1 refuses to allow staff to clean R-1’s room and is often yelling and/or cursing at staff and hitting the walls. Per resident interviews, staff clean resident rooms daily. Interviews and documentation review does not corroborate this allegation. Allegation: Unlawful eviction. Staff interviews and file review for R-1 revealed that an eviction notice was issued to R-1 on 08/31/23 due to repeatedly violating house rules. Staff interviews and documentation review does not corroborate this allegation. Allegation: Staff did not update SSI on residents living situation for payment(s). Staff interviews and file review for R-1 revealed that on 02/08/23 this facility notified the Social Security Administration office of R-1’s admission to this facility and requested the board and care rate to be implemented. Per staff interviews, the board and care rate was implemented effective 06/01/23 (as R-1 had an overpayment from the previous placement/facility). Staff interviews and documentation review does not corroborate this allegation. Allegation: Facility providing confidential information to unauthorized party. Staff interviews and file review for R-1 revealed that R-1’s family member is noted as R-1’s “primary” contact. Per staff interviews, the listed family member for R-1 (noted on R-1’s face sheet) is the only person that is contacted. Staff interviews and documentation review does not corroborate this allegation. Allegation: Facility not assisting resident with medication orders. Staff interview revealed that R-1 went to a medical appointment with R-1’s primary physician on 09/05/23 (on R-1’s own) and allegedly received orders for new medication. Per staff interview, this was discovered during a meeting that was held with R-1 on 09/15/23. Per staff interview, R-1 did not provide staff with any new medication orders. Staff have reached out to R-1’s primary physician to obtain clarification and have been unsuccessful in reaching R-1’s primary physician. Staff interview and documentation review does not corroborate this allegation. Refer to LIC 9099C for the continuation of this report. Allegation: Facility not assisting resident with wound care orders. Staff interview revealed that R-1 went to a medical appointment with R-1’s primary physician on 09/05/23 (on R-1’s own). Per staff interview, this was discovered during a meeting that was held with R-1 on 09/15/23. Per staff interview, R-1 did not inform staff of any orders for wound care. Staff interview and documentation review does not corroborate this allegation. Based on record review and interviews conducted the findings indicate, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview conducted, appeal rights and a copy of this report was provided to Chanel Sanchez