complaint·May 31, 2022

The staff did notify the family immediately and they had been monitored R1's condition. On the next day, the staff observed R1 had been vomiting for more than 24 hours, and notified resident became more unresponsive and shortness of breath and the oxygen and temperature level was low, staff decided to call 911 immediately and sent resident to hospital, the staff did follow the protocol. Based on LPA's interview conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Allegation#2 "Staff did not provide resident's medication information to attending professional" LPA interviewed staff and denied the allegation and reported the staff already prepared the emergency packet before they called 911, then handed the packet when the Paramedics arrived. And each resident's emergency packed is located at the reception office by resident's last name. According to the staff, the emergency packet is included resident's emergency face sheet, updated physician report , insurance card and medication list. The Executive Director also stated that this is part of the job duty for the front desk/receptionist to photocopy the emergency packet once they received the page/call from Med-tech or any nursing staff about calling the Paramedics. Based on LPA's interview conducted, documents reviewed and LPA's observation, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Allegation#3 "Staff mismanaged resident's medication " LPA interviewed ten (10) residents and all residents denied staff mismanaged their medication. Staff always gave them the medication on the right time with a right dosage. LPA interviewed staff and all denied the allegation and reported all med-tech received training for medication and no resident ever complained staff mismanaged their medication. Based on LPA's interview with residents and staff, documents reviewed and LPA's observation, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Allegation#4 "Staff did not provide resident's physicians orders" LPA interviewed staff and denied the allegation and stated that R1's family never asked the physician order or R1's medication list from the facility. R1's family only requested R1's left over medication and the facility did provide it back to the family with the release form. Based on LPA's interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Allegation#5 "Staff did not assist resident with incontinence needs" LPA interviewed residents and denied the allegation and reported staff took good care of them. They never had to wait for a long period of time for staff to change their diaper and staff would come and check on them regularly. Resident also reported they never had any skin issues due to soiled diaper. LPA interviewed staff and denied the allegation and reported caregiver would have six minutes once they get the call light from the residents or caregiver would let other caregivers know if they need help or cannot get into the residents on time. Based on LPA's interviews with staff and residents, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Allegation#6 "Staff did not safeguard resident's personal items" LPA interviewed ten (10) residents and three out of ten residents reported they did lost something in the facility, but all residents reported they feel safe living in the facility and staff are very helpful and always available if they need any assistance. Staff reported no resident ever complained that they lost anything in the facility. For R1, she was in charge of her own hearing aids and she can put it on by herself. When R1 lost her hearing aid, the staff did try to locate it for R1 but they could not find it. Therefore, R1 was missing one hearing aid. Based on LPA's interviews with staff and residents, the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. 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 was conducted with Executive Director Nicole Greene and a copy of this report was provided.