complaint·February 15, 2022

identifying information. LPA Colvin interviewed staff an inquired as to if any residents had been receiving wound care, to which LPA Colvin was informed that none were at this time. LPA Colvin reviewed resident files (including hospice files for resident currently on hospice) and did not observe any notes or medical documents stating that any of the residents has a pressure injury or had one recently. LPA Colvin additionally interviewed residents and inquired about if they had any pain that they were suffering from, and none was reported. Therefore, due to lack of evidence and information, the allegation Resident has an unstaged pressure injury." is UNSUBSTANTIATED. Regarding allegation "Food service is inadequate": LPA Colvin reviewed the facility's perishable foods during the initial inspection on 1/28/22 and observed there to be a variety of eggs, vegetables, meat, and other perishable items required to cook balanced meals for the residents. Today, LPA Colvin interviewed some of the residents (1 of 4 not interviewed due to asleep during inspection) and inquired about the facility's food. There were no complaints regarding food from parties interviewed by LPA Colvin. Therefore, due to observations and interviews, the allegation "Food service is inadequate." is UNSUBSTANTIATED. Regarding allegation "Staff yell at family member in front of the resident.": The allegation was submitted anonymously, so LPA Colvin was unable to interview the reporting party to take a statement. LPA Colvin interviewed some of the residents regarding this allegation, and it was consistently stated that staff are friendly and respectful to the residents' visitors. Therefore, due to lack of evidence and interviews conducted, the allegation "Staff yell at family member in front of the resident." is UNSUBSTANTIATED. Regarding allegation "No activities are provided.": LPA Colvin interviewed staff and residents regarding the allegation, and it was reported by staff that activities are available for the residents, though their participation varies. LPA Colvin learned from further interviews that residents spend their time reading, sitting outside (when it is warm enough) watching tv, playing cards, or visiting with family and other residents. LPA Colvin did not receive any complaints from anyone interviewed regarding lack of activities being provided, and from interviews conducted, residents tend to participate in individual activities that they enjoy, rather than group activities. Therefore, due to interviews conducted, the allegation "No activities are provided." is UNSUBSTANTIATED. Regarding allegation "Staff are not treating the resident with dignity.": The complaint allegation was submitted without any specifics regarding incidents or examples, or residents or staff of concern. LPA Colvin interviewed residents at the facility and inquired as to how staff treats them and if they felt respected and treated well. LPA Colvin did not receive any evidence from these interviews to suggest that residents are not treated with dignity. Additionally, the complaint was submitted anonymously, so LPA Colvin was unable to reach out to the reporting party for additional information to follow up on or investigate. Therefore, due to interviews and lack of evidence, the allegation "Staff are not treating the resident with dignity." is UNSUBSTANTIATED. Regarding allegation "Staff does not wash the resident's face after a meal.": This allegation was also submitted without any specifics as to the name of the resident of concern or other evidence to support the allegation. During both of LPA Colvin's visits to the facility (1/28/22 and 2/15/22), LPA Colvin observed the residents to appear clean and well-kept, and without visible debris on their faces. During today's inspection, LPA Colvin interviewed residents and inquired as to if staff does not assist them with cleaning their faces after meals. Of those residents interviewed, it was reported that they do not require assistance with cleaning their faces. These statements were found to be unreliable, as the residents' Physician's Reports state that they need assistance with grooming. However, this does not change the fact that there is no evidence provided to or observed by LPA Colvin to suggest that any of the residents are not assisted with grooming, if needed. Therefore, due to lack of evidence and observations, the allegation "any specifics as to the name of the resident of concern or other" is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator/Licensee Erika Ramos and a copy of this report was provided.