complaint·November 7, 2023

It was alleged that staff neglect led to resident suffering a serve bowl impaction. 5 interviews conducted with residents did not corroborate with the allegation by stating that staff are "attentive" and "patient" whenever a resident uses the restroom, and denied of staff neglect. Per document review, it was observed that the facility contacted hospice services to obtain medication to assist with R1's bowel impaction. Per document review, it was also observed that the facility completes a bathroom log and noted every time a resident uses the bathroom. It was alleged that facility retained a resident with a higher level of care needs. LPA conducted a total of 7 interviews which consisted of residents and staff, who all stated that prior to admission into the facility, each resident will have an intake assessment conducted by the facility administrator to determine the needs of each resident. It was also stated and observed that each resident undergoes a medical evaluation conducted by a physician to determine the level of care each resident needs. It was alleged that staff did not report incident involving resident to their representative. LPA conducted a total of 7 interviews which consisted of staff and residents. 5 resident interviews verified that the staff regularly communicates with their families to update them about the resident's status, along with any concerns. 2 interviews conducted with staff stated that the AD is the staff member who contacts the residents family via phone call, or in person if there were any incidents regarding the resident and care provided. LPA reviewed incident reports that the facility has completed, and observed that each incident report indicated that the resident's family was notified. It was alleged that staff did not seek medical attention for resident in a timely manner. LPA conducted a total of 7 interviews which consisted of staff and residents. The 7 interviews conducted did not corroborate with the allegation by stating that the staff does medical attention through consulting, communicating and coordinating with the resident's medical team and contacts the applicable individuals such as hospice, and paramedics if needed. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with AD Rinehart. A copy of this report was explained and provided.