complaint·October 25, 2022

Throughout the course of the investigation, LPA reviewed the following documentation: R1's physicians report, medication administration record (MAR), hospital discharge paperwork, care notes, medication list, and admission agreement. Additionally, LPA reviewed a restraining order in place for R1. LPA interviewed the following relevant parties: facility staff including management, activities director, housekeeping, caregivers, and med techs. Based on the review of documentation and interviews conducted, LPA concluded the following: the facility staffing is sufficient to meet the resident's needs. If there are staff who call in sick, management will find a replacement. Therefore, R1 has not experienced neglect due to staffing issues. Additionally, while R1 has a history of falls and UTIs, this was not due to facility staffing. All staff interviewed acknowledge that R1's room is kept neat and orderly. R1's thermostat is kept at a reasonable temperature. Additionally, R1 can vocalize to staff if she wishes her thermostat to be adjusted. All staff acknowledge that R1 spends the majority of her day in the common area, amongst activities staff and caregivers. Staff perform frequent checks on her throughout the day and night. LPA was unable to find any medication errors with R1's MAR. Per documentation reviewed, facility is following doctors orders in regards to medication. LPA learned that the facility is offering fluids to R1 appropriately. R1 is offered a variety of liquid throughout the day including coffee, water, and juice (3 meals plus 2 snack times each day). Additionally, R1 has a water bottle in her room to assist with hydration. Based on LPAs interviews and review of documentation, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.