complaint·March 2, 2023

CONTINUED FROM FORM LIC9099-A Regarding the allegation that Facility staff did not keep accurate records on resident(s), the following was concluded: LPA obtained records initially transmitted to the family of resident R1 by facility staff that were shown to include unrelated documents pertaining to resident R2 and R3 that had been included erroneously. The allegation is therefore deemed to be Substantiated, meaning the preponderance of evidence standard has been met. A citation is issued on an attached form LIC9099-D, An exit interview was conducted and a copy of this report along with appeal rights were provided to facility representative. CONTINUED FROM FORM LIC9099-A Regarding the allegation that Facility staff did not ensure that resident was adequately dressed, Facility did not have sufficient staff to meet the resident's needs, Facility staff did not assist resident to the restroom, the following was concluded: Due to the evolution of resident R1's condition, increasing difficulties with mobilization and transfers were documented by the facility in an attempt to demonstrate the need for a higher level of care. However, a majority of interviews conducted, observation led and records reviewed did not corroborate the fact that the facility was ever negligent in providing care and supervision to the resident. Therefore, the allegations that Facility staff did not ensure that resident was adequately dressed, Facility did not have sufficient staff to meet the resident's needs and that Facility staff did not assist resident to the restroom are deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided and left at the facility. CONTINUED FROM FORM LIC9099 Regarding the allegation that Facility staff mismanaged resident's medications (resident was overmedicated), the following was concluded: Based on a review of prescriptions, nursing notes and interviews conducted, it was confirmed that the medication received by resident R1 was based on prescriptions by either the primary care physician or the hospice physician which no prescriptive input from facility staff. The allegation is therefore found to be unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Regarding the allegation that Facility did not give resident a 30 day notice, the following was concluded: Multiple care conferences were initiated by facility staff to inform resident R1's family that the resident's condition had evolved to become incompatible with the care and supervision being provided at the facility. However, the resident's transfer to a different facility was consensual and no orders for an eviction were issued due to no eviction being initiated. The allegation is therefore found to be unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Regarding the allegation that Facility staff did not ensure that resident was adequately hydrated, records of medical examination dated October 4, 2022 by the hospice physician were obtained and reviewed during the investigation. Report states clearly that no signs and symptoms of dehydration were present in resident R1. The allegation is therefore found to be unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Regarding the allegation that Facility bathrooms do not provide a safe environment for residents in care (no support commode frames, grab bars) and that Facility bathrooms did not have supplies (soap, paper towels, toilet paper), the following was concluded: During facility visits conducted on October 11, 2022 and February 27, 2023, LPA conducted a tour of several units in the memory care wing of the facility and observed both the presence of grab bars and non-slip surfaces as well as hygiene supplies stored under lock due to the presence of dementia residents. The allegations are therefore found to be unfounded, meaning that the allegations are false, could not have happened and/or are without a reasonable basis. An exit interview was conducted and a copy of this report was provided to facility representative.