complaint·September 21, 2023

evening shift wellness check waiver that was signed to decline the service by R1’s responsible party. It is alleged that staff did not see medical attention in a timely manner. R1 had two incidents of sliding down the recliner. Staff evaluated resident and did not observe any injuries. R1 stated they had no pain or discomfort. Facility staff notified the responsible party, as a result of the notification R1’s responsible party decided to take R1 for evaluation. Interview revealed that facility staff rendered immediate first aid to R1 and evaluated for any injuries. It is alleged that staff did not recognize a change in the residents’ condition. Records review revealed that care plan outlines services provided included: reminders to socialize and watch for signs of fatigue, watch for signs of increasing emotional distress, and monitor resident to minimize fall risk/changes of behavior. LIC802 Physicians report indicates R1 able to feed self. Interview revealed that R1 was independent and weight loss management was not on the care plan. The interview revealed that facility staff do not do weigh in to residents. Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted with facility representative and a copy of this LIC9099 report was left at facility.