complaint·July 30, 2024

S2 stated that a resident is reassessed when there's a change in condition and at that time, the appraisal/needs services plan and the physician's report are completed/updated. S2 indicated that dementia residents receive an annual medical assessment or as needed. Some staff interviewed stated that they address the needs of the residents based on the daily care assignments given to them and they ensure that residents are cared for with their activities of daily living. (6) out of (6) residents interviewed stated that they are comfortable living in the facility and staff attend to their needs. There was no mention of the specific resident(s) nor information provided as to which physician’s report was not updated timely. Documentation reviewed for (6) random residents in Memory Care and Assisted Living reveals that the facility maintains records of their Physicians’ report signed and dated by a physician, made within the last year. Some files also included up to date reassessment of the residents’ dementia care needs. Reviewed files also show the completed appraisal/needs and services plans identifying the functional capabilities and limitations of the residents. Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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 and a copy of this report was provided to Chad Coleman, Administrator.