Complaint·February 10, 2023

According to complainant, facility did not adhere to R1’s admission agreement. In 2021, R1 had a fall resulting a broken back. R1 was discharge from hospital and was admitted to Meadow Oaks of Roseville. Complainant indicated facility staff did not ensure to call R1 and conduct status check on R1 two times per day per admission agreement. The Department reviewed R1’s physician’s report. R1’s primary diagnosis is fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with routine healing. R1 is unable to bathe self, dress/groom self, and care for own toileting needs. R1 is unable to administer own prescription medications, administer own PRN medication, and store own medications. R1 is not receiving hospice care. The Department reviewed R1’s initial level of care assessment completed on 04/26/2021. R1 reside in the assisted living unit. Level of care assessment indicated R1 does not require status check. On 01/26/2023, facility conducted an update on R1’s level of care assessment due to a change of condition. Level of care assessment indicated R1 does not require additional status checks. The Department interviewed and received statement from a total of four (4) facility staff. Interview statement received from four (4) facility staff (S) indicated R1 uses call button on a daily basis for assistance and request for PRN medication. S1 indicated staff conduct rounds every two hours to check on R1. S2 indicated caregivers and Med Techs regularly conduct status checks on R1 four times per shift. The Department requested and reviewed R1’s call log from 09/14/2022 through 10/14/2022. According to call log, 80 events were recorded and the response time average is 7 minutes. According to R1’s MAR, PRN medication has been provided to R1 consistently from 09/14/2022 through 10/14/2022. Interview statement received from AED indicated, there is no restriction on residents using call buttons. Interview statement received from R1 indicated, staff conducts status check on R1 frequently. R1 stated R1 uses call button for assistance and to request for PRN medication. R1 stated staff delivers food to R1’s room on a daily basis and would check on R1. R1 stated facility staff are kind and R1’s needs are being met. R1 indicated response time for call button is 5-10 minutes. The allegation is 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. No deficiencies cited during today’s visit. Exit interview conducted.