complaint·November 10, 2022

LPA Colvin observed in staff notes that R1 refused to go to the hospital on multiple occasions (unrelated to rash) and additionally refused to go to a psychiatric facility when it was recommended. Staff interviews relayed that there was a terrible odor coming from R1’s room due to R1 not showering, and staff additionally stated that R1 was sleeping and drinking excessively during this time, and even stayed in bed for a period of two weeks. LPA Colvin asked the Administrator if anything else was done in regards to R1’s decline in condition, such as having R1 evaluated for a psychiatric hold for danger to self or grave disability. Administrator relayed to LPA Colvin that this was not done, nor was R1 provided with an eviction notice or warning of eviction notice (despite R1 breaking facility rules) and that staff were encouraged to check in on R1 and try to convince R1 to shower/accept care. LPA Colvin learned from staff interviews that R1’s condition only improved due to R1’s own decision to get better after R1’s last admission to the hospital on 11/5/22 for a fall. Due to information provided from interviews and record review, LPA Colvin observed that the facility failed to provide necessary assistance to R1, as facility staff did not have R1 evaluated for 51/50 psychiatric hold, or take other measures to attempt to convince R1 of allowing for care, such as providing R1 with eviction notice or warning of eviction notice. This method would have likely proven to be effective, as LPA Colvin learned through interviews that R1 is a “people pleaser” and views the facility as all they have left and does not want to be in trouble. Therefore, based on interviews conducted and review of facility records, the allegation “ Facility failed to meet needs of resident “ is SUBSTANTIATED. . A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. Due to observations made by LPA Colvin, the facility was cited and deficiency noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy of all reports, forms, and appeal rights were provided to Administrator Maria Nevarez during the exit interview.