complaint·August 3, 2023

LPA did not find medications on floor. CCL was provided a photo with medications alleged to be found on the ground. LPA did not observe or obtain additional information that medications were being mismanaged. Based on the physician’s report R1 required assistance taking medications due to diagnosis of dementia. Based on LPA’s interviews conducted, a review of Medication Records, and observation, there is insufficient information to prove or disprove staff mismanage residents’ medications. Although it was known resident cheeked medications and 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 sustained unexplained injury – Complaint alleges resident had fallen out of chair in room and was injured. Resident resides in a memory care unit. Resident’s care notes state on 3/15/23 black and blue area to the right side of head along with some swelling although resident did not remember. Resident’s physician’s report states R1 had rotator cuff tear and osteoarthritis, uses a walker, and has history of falls. Although it is alleged that the resident fell out of a chair in their room and sustained injury, based off of interviews and record review facility documented observed injuries with no witnesses to the incident. Although it was known resident has a history of falls and 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 being left in soiled clothing for extended amount of time - Residents Service Plan of 3/21/2023 indicates Resident does not need incontinence program and resident is independent in toileting, Physicians report dated 8/11/2022 states Resident is able to care for own toileting needs. While conducting investigation LPA did not observe R1 in soiled clothing on either 4/11/2023 or 6/15/2023. Although it was alleged that the resident was left in soiled clothing for extended amounts of time, 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.