complaint·February 29, 2024

Continued from LIC809 LPA was also informed that facility performed an enema for R1 after a suppository was requested. Supporting documents related to R1’s care was requested but per interview, were no longer available for LPA to review. LPA was unable to interview staff members that provided care to R1 during the time frame of January 2022 to June 2022, because the staff members were no longer employed at the facility or were unable to recall details related to R1. Review of R1’s Physician Report dated 12/28/2021 stated that R1 had a diagnosis of dementia and chronic kidney disease. Review of R1’s Functional Capability Assessment dated 12/31/2021, stated that R1 had a history of UTI and required total assistance with Activities of Daily Living (ADLs). Review of R1’s Communication Log stated that on 06/04/2022, R1 was assessed by facility staff where it was determined that R1 had a change in condition. Facility contacted Emergency Personnel to have R1 evaluated. LPA did not observe any other notes regarding R1’s care prior to this incident. R1’s Physician’s Orders dated 03/21/2022 indicated that R1 was able to receive a suppository, as needed, if their Milk of Magnesia was ineffective. There was no documentation to indicate that R1 needed a suppository and if it was given. Due to lack of evidence and available documentation, LPA is unable to determine if a violation of Title 22 Regulations occurred, therefore this allegation is Unsubstantiated . A finding that the complaint is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Deficiencies Cited during visit. Exit interview conducted. Copy of report discussed and provided to Administrator/Executive Director. Signature on form confirms receipt of documents.