complaint·August 17, 2023

Continue from LIC9099... Facility provided correspondence between the facility and responsible party including R1’s Physician report. Based on interviews conducted with outside parties indicate that there was an active communication with the facility regarding incidents involving R1. Based on medications review, the facility obtained a PRN order for Acetaminophen -500mg for pain three times per day such medication was included into R1’s care plan dated 2/11/23 due to R1 consistency complained of pain. Also, R1’s care notes for the month of May 2023 confirmed that on 5/18/23 R1 complained of right leg pain to an outside party. However, there was no indication that any incident including falls when medical attention was not provided by the facility. A finding that the complaint allegation Facility staff failed to seek medical attention is unsubstantiated meaning that 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. Regarding the allegation of facility neglect/lack of supervision. According to Reporting Party, on 5/24/23 R1 was diagnosed with a fracture and there are concerns raised that the facility lack of supervision resulted in R1 sustaining a fracture. Based on records review, the facility provided LIC500 Personnel Summary and staff schedule for the month of June 2023. The facility has in Memory Care currently 4 care staff and 1 med tech, along with dining staff helping with meal service but not care. Based on records review, R1’s care plan indicated that residents needed assistance with full daily living activities. LPA reviewed staff training records and most of staff (S1, S2, S3, S4, S5, S6, S7, S8, S9 & S10) has received hours annual of training required per regulation. On 7/21/23 and 7/25/23 LPA conducted confidential interviews with facility staff and outside parties did not indicate any lack of supervision that resulted in R1 sustaining a fracture. A finding that the complaint allegation facility neglect/lack of supervision is unsubstantiated meaning that 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. No deficiencies cited during today's visit.