complaint·March 1, 2023

Regarding the allegation that Staff did not change resident's clothes, LPA spoke with staff, witnesses and reviewed documentation. LPA learned that resident R1 did apparently wear the same clothes for several days in a row at the facility. Staff said that they would offer R1 assistance to dress, and she would refuse or go back to the dirty laundry in the resident's room and switch clothes, putting on outfits previously warn. It appears that after a few days staff became aware that this was happening, and came up with a plan to remove the dirty clothes from the room, thus removing the possibility to change back to dirty clothes. R1 was new to the facility, and staff were not fully aware of her habits/behaviors at first. So, even though it does appear that R1 wore the same clothes for multiple days in a row, when staff became aware of the issue, it was dealt with appropriately. It does appear that assistance with dressing was included in the care plan, but LPA cannot say how much staff was aware of what assistance was really necessary for the first few days until they came to know R1. Allegation is unsubstantiated. required information. The facility attempted to bring this issue to the attention of the doctor's office, but the doctor was not available, and it took several days for the prescription to be written properly. It appears that the facility did make attempts to correct the situation and obtain the medications for R1, but was not able to get the mistake corrected immediately. This appear to have been an issue between the doctor's office and pharmacy that the facility did not have control over. It appears that facility staff did attempt to make R1's responsible party aware of the situation. So although it is true that the medication did not get filled as needed, the facility DID attempt to have it filled. Therefore, the allegation is unfounded. Regarding the allegation that Staff did not dispense prescribed medication to resident, as noted above, the facility attempted to have the medication filled, but due to an issue between the doctor's office and the pharmacy, it took a few days to obtain the medication. As noted above the facility staff made attempts to correct the issue, but it took some time, leaving resident without medication. This does not appear to have been caused by a mistake or omission of the facility, therefore, the allegation is unfounded.