complaint·June 21, 2024

CONTINUED FROM 9099 It was advised that the primary care doctor prescribed R1 two specific medications. Information obtained from interviews with facility staff stated staff follow R1's plan of care, service plan as well as the Physicians orders. The records review indicated that there were no medications being administered to R1 that were not prescribed by the attending doctor. Regarding the allegation of Staff did not ensure resident used their walking device, it was reported that R1 was taken to the doctors without their walking device. Information obtained from interview with the Administrator and facility staff advised that R1 is supposed to use their walker when ambulating. It was stated that there was an incident where R1 was transported to see their primary doctor and R1 was trying to hit Staff Member with their walker. Staff Member was able to calm R1 down and properly use their walker to assist with ambulating. Upon arrival to the doctor’s office, R1 refused to use the walker. The driver, which was also a staff member, escorted R1 into the doctor’s office. Information obtained from additional witness stated that R1's walker was present and available for use. Based on interviews, reviews of the documents, observations, and the inability to interview R1, the allegations of Staff are administering medication to resident not consented by POA, Staff are not meeting resident's hygiene needs, and Staff did not ensure resident used a walking device have been deemed "Unsubstantiated." An allegation finding of "unsubstantiated" means although the allegations may have happened or are valid, there is not a preponderance of evidence strand to prove the alleged violation(s), did or did not occur; therefore, the allegations are unsubstantiated. An exit interview was conducted, a copy of this report, along with the appeal rights were provided to the Administrator, Teresa Mapilis.