Complaint·July 23, 2021

Further review of medical records reveal that a registered nurse described that it "would have been difficult to kick the paitient's ankle through the hardware." LPA interviewed R2 and R5 on 7-8-21 at 1:05pm. Based on interview, it was revealed that there have been no observations of physical abuse towards any residents in care past or present.. LPA did not observe R2, R3, R4, or R5 to have any notable bruising, tearfulness, sad expressions, or facial grimaces during interviews. LPA interviewed Staff1 (S1) on 7-8-21 at 1:30pm. Based on interview it was revealed that there have been no observations of physical abuse towards any residents past or present. LPA observed environment to be clean, sanitary, and quiet during visit. Based on record reviews, observation, and interviews, it is determined that the preponderance of evidence standard has not been met, there this allegation is UNSUBSTANTIATED Allegation - Staff did not give medication as prescribed - LPA reviewed Physician Reports (602) and medication orders for resident. LPA also interviewed Administrator. Based on record review, it was revealed that there are no physician orders for an antibiotic a resident alleges was not given as prescribed in the resident files. Review of hospital and skilled nursing records reveal that there were no previous physician orders for an antibiotic prior to resident's arrival at facility for the resident. Based on interview with Administrator, it was revealed that the antibiotic was present but could not be given due to no Physician orders present. Based on record reviews and interviews, it is determined that the preponderance of evidence standard has not been met, therefore, this allegation is UNSUBSTANTIATED.