Complaint·June 7, 2023

Therefore, the Medication technician brought R1 her injection and testing equipment and R1’s spouse(R2) completed the testing and injection for R1. LPA interviewed a staff member in which they stated they have an hour window before and after medication scheduled 8 PM time. Facility was unable to provide a nurse to the facility until 10 PM. Staff member stated R1’s spouse(R2) completed the testing and insulin injection on February 20 th . Due to the information gathered, LPA finds allegation to be SUBSTANTIATED. LPA investigated allegation, “Facility is not responding timely to resident’s needs.” LPA interviewed 4 residents and their spouses, interviewed staff, and reviewed resident documents. LPA interviewed residents in which 3 of 4 resident spouses stated they have had to provide their spouse care because staff were not responding to residents needs in a timely manner. Residents stated they have helped their spouse with continence care, and transfers to wheelchair to bed or wheelchair to toilet due to staff not responding in a timely manner. LPA interviewed staff in which they stated when caregivers call off, they do not have backup help and so they are unable to respond to call lights in a timely manner. LPA reviewed call light records and observed on March 20 th 2023 R2 waited 40 minutes for a staff response when he was in the bathroom. On March 18 th 2023 R2 waited 26 minutes for a staff response when he was in the bathroom. On March 15 th 2023, R2 waited 33 minutes for a staff response when he was in the bathroom. On March 13 th R2 waited 21 minutes for a staff response when he was in the dining room. On March 20 th 2023, R3 waited 35 minutes for a staff response. Continuation on 9099-C. On March 19 th 2023 R3 pushed their pendant and records show “This alert was never responded to”. On March 17 th 2023, R3 waited 29 minutes for staff to respond. On March 13 th 2023, R3 pushed their pendant and records show, show “This alert was never responded to”. On March 15 th 2023, R3 pushed their pendant and records show, show “This alert was never responded to”. On March 22 nd 2023, R4 pushed their pendant and records show, show “This alert was never responded to”. On March 19 th 2023, R4 waited 29 minutes for a staff response. On March 15 th 2023, R4 pushed their pendant and records show, show “This alert was never responded to”. On March 13 th 2023, R4 pushed their pendant and records show, show “This alert was never responded to”. Due to the information gathered, LPA finds allegation to be SUBSTANTIATED. As a result of this investigation, LPA finds allegations to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies cited on 9099-D. Exit interview conducted and appeal rights provided. R2 was able to show LPA a receipt that indicated a mail package was delivered to the facility, however the receipt did not indicate what items were delivered to facility. Administrator stated they looked for the package but they never observed a package for R2 during those time period. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview conducted.