complaint·April 25, 2024

Staff and the hospice nurse tried to encourage R1 to eat a little bit and/or to seek a higher level of care, however, R1 rejected any recommendation. They also indicated that R1 was not on any dietary restrictions and was simply refusing to eat. LPA interviewed 4 out of the 6 residents and 3 stated staff provided them with food and snacks. During the visit, LPA observed staff cooking and preparing meals for the residents. They provided R1 with the Ensure drink, as R1 did not want to eat the food made. Allegation – Lack of care resulting in resident sustaining wounds. It is alleged that R1 developed wounds in the back, neck, groin, coccyx, abdominal folds, and legs. The administrator and staff interviewed indicated that R1 was admitted to the facility with wounds. They often try to reposition and change R1 but client was resistive to any staff help. They stated that a hospice agency nurse came out 3 times a week to treat the wounds. LPA interviewed the hospice agency nurse who confirmed R1 was being treated for these chronic wounds on the body. The nurse also indicated that R1 was non-compliant with the care being provided and repositioning. They have tried to educate R1 about the importance of treating the wounds and accepting the care, however, R1 would become angry. The hospice nurse also stated that R1 was very selective and had resisted any care being provided by certain nurses or staff. LPA interviewed 3 other residents who stated that staff are caring and assist them when needed. Based on the information gathered, R1 refused the care being provided and not that there was a lack of care from staff. 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. An exit interview was conducted with Staff Demapan. A copy of this report along with the appeal rights were provided.