complaint·May 17, 2023

LPA observed on May 3rd through May 8th, medication was not provided to resident due to medication being out of stock at the facility. LPA observed R2 had an order for polyethylene glycol powder as a PRN medication, however medication was not available at the facility. 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. Due to the information gathered, LPA finds allegation to be UNFOUNDED. LPA investigated allegation, " Facility staff have not completed appropriate training's", LPA reviewed facility staff training records, and observed staff have sufficient training to meet training requirements. LPA interviewed staff in which they stated they have online training and an all-staff training one time a month. Due to the information gathered, LPA finds allegation to be UNFOUNDED. LPA investigated allegation, " Facility is not kept clean". L PA conducted a facility tour which included 9 resident rooms, medication room, and common living spaces in the memory care unit and assisted living side of the facility. LPA observed that the facility was clean, safe and sanitary and odor free. LPA interviewed staff, and all staff stated the housekeepers keep the facility clean and are cleaning daily. LPA interviewed 3 residents in care in which they stated the facility is always clean. Due to the information gathered, LPA finds allegation to be UNFOUNDED. LPA investigated allegation, " Residents are not provided with proper food service". LPA inspected the kitchen and reviewed food menu. LPA observed fresh fruits, vegetables, and other food items. LPA interviewed 3 residents in care in which they stated food is served to them warm and they enjoy the food options. Food is brought into the memory care unit and placed into warming trays in order to keep the food warm. LPA interviewed memory care caregivers in which they stated food is served warm to the residents. Due to the information gathered, LPA finds allegation to be UNFOUNDED. Continuation on 9099-C. LPA investigated allegations, " Staff are smoking in the facility and staff left nicotine devices accessible to residents in care". LPA completed a facility tour in which LPA observed two smoking areas outside of the facility. LPA did not observed nicotine devices accessible to residents and LPA did not observe staff smoking in the facility. LPA interviewed staff in which they stated they have not observed staff smoking inside the facility and had not observed nicotine devices in the facility. LPA interviewed 3 residents in care, and all residents stated they have not observed staff smoking in the facility. Due to the information gathered, LPA finds allegation to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.