complaint·October 17, 2023

The investigation revealed the following. Regarding Allegation(s): Facility grounds are littered with trash and cigarette buds. - At 11:17 am, LPA Ramirez toured indoor and outdoor of the facility grounds. LPA Ramirez did observe several discarded cigarette buds in planter located on the outside main entry walkway of the facility. LPA Ramrez observed staff inspecting front grounds with a broom and scoop pan, and removing discarded cigarette buds from front grounds. LPA Ramirez did not observe trash scattered around facility grounds. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Resident was given incorrect medication by staff.- It is alleged facility staff gave R1 incorrect medication. Four (4) out of four (4) staff interviewed deny this allegation. Three (3) out of the four (4) staff interviewed deny this allegation. LPA Ramirez reviewed R1’s Medication Administration Record for the months of September and October. LPA Ramirez did not observe and discrepancies. LPA Ramirez reviewed R1’s medical file and could not locate any medical records indicating R1 was sent to the hospital or treated for being over medicated or under medicated. LPA Ramirez did not observe and Special Incident Reports (SIRs) for R1 indicating medication was given incorrectly or missed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Facility emergency call button in resident room is in disrepair.- It is alleged the facility emergency call button in R1’s bathroom is in disrepair. LPA Ramirez toured R1’s room (159) and tested emergency call button located in bathroom. Initially call button was not working properly however, this was due to call button not being reset. After second attempt and reset, emergency call button functioned accordingly. LPA Ramirez tested emergency call buttons in bathrooms: 120 and 132. LPA Ramirez observed these to be in working order. Four (4) out of four (4) staff deny this allegation. Three (3) out of the four (4) residents interviewed deny this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted. No deficiencies were cited during this visit. A copy of this report and appeals rights was provided.