Complaint·July 12, 2023

Facility staff continued to provide care and documented daily R1s care from 08/03/22 to 08/12/22. Records obtained from the Hospice Agency reveal that R1 was on hospice and being treated daily by the hospice agency up until R1 passed away on 8/12/22. The Licensee provided Licensing with a written death report as required. This agency has investigated the complaint alleging questionable death violation. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Director Morton at the conclusion of the visit. Regarding the allegation the staff failed to assist resident in a timely manner , resident #3 (R3) in question was interviewed and stated that staff provide incontinence service by staff when resident pendant is pressed in a timely manner. R3 pressed pendant to demonstrate the pendant is working. Regarding allegation that staff failed to provide adequate food service , LPA obtained food menus and observed that meals are of good quality and serving portions and meals are being served within that appropriate meal times. LPA also obtained an "always available menu" that resident's can chose from upon request. Regarding the allegation that staff failed to provide a safe environment for residents , pertained to resident #2 (R2) making inappropriate statements to residents and staff not preventing R2 from making those statements. Records reveal that R2 did not make any such statements to residents. Regarding allegation that f acility is not performing safety inspections, pertains to facility have outdated fire extinguishers that are not fully charged. LPA toured facility and observed, and documented fire extinguishers to find that the have been documented by the State Fire Marshall to be in working order and have the proper pressure for use. Regarding the allegation that staff failed to provide a comfortable temperature for residents, referenced resident rooms (#153, #246, #208, #214, #104, #207, #221, #219, #240, #205, #223, and #154) having broken AC units. LPA toured these rooms, tested the AC units and found to be working order with cool comfortable temperatures. Regarding the allegation that facility is in disrepair , LPA tour all wings of the facility and all three floors and did not observe any signs of facility being disrepair. The facility is carpeted wall to wall and did not observe any cracks on floor as mentioned on the complaint details. The corridors were observed to be clean and free of clutter. LPA toured outside of facility and found it to be free of clutter. Regarding allegation that insufficient staffing to meet residents' needs, LPA Prieto obtained facility staff roster to see that there is sufficient staff to meet the needs of the residents. Based on the information obtained there is not enough evidence that resident sustained a fracture while in care, due to lack of supervision residents engaged in inappropriate interactions with each other, staff failed to assist resident in a timely manner, insufficient staffing to meet residents' needs, staff leave residents unattended in soiled dirty diapers for extended periods of time, staff failed to provide adequate food service, staff failed to provide a safe environment for residents, facility is not performing safety inspections, staff failed to provide a comfortable temperature for residents and facility is in disrepair. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Director Morton at the conclusion of the visit.