Complaint·January 11, 2024

LIC 9099-C... Allegation: Staff are not following residents care plans. Based on file review of R1's care plan, it revealed R1's medication management states "Needs/Details Central storage and set up of medications Assistance with 10+ centrally stored medications" Based on LPA's inspection conducted on 10/11/2023, it revealed medications were found in R1's bedroom when it should be centrally stored responsibility of a med tech as stated in R1's care plans. LPA observed the medication found to be Ondansetron 4mg which is often used to nausea and vomiting. Interview revealed R1 wished to keep Ondansetron in the room as it is hard to get assistance for medication in a timely manner. It further revealed when call lights are pressed, R1 is unable to get assistance until an extensive period of time. Interview with R1 further revealed that R1 needs assistance with showering and incontinence care but often staff are unavailable to change diaper in a timely manner. Based on LPA's observation on 10/11/2023, it revealed LPA observed R1 pressing call light for assistance. At approximately 15 minutes afterwards, LPA checked on R1 which revealed no caregiver has entered the room for assistance yet. Interview with R2 revealed R2 needs assistance with medication as medications are centrally stored. R2 stated med techs are often late for medication administration as facility is often employed with one med tech per shift only. Interview conducted with R3 revealed R3 has occasional issues with call lights at the facility, as staff do not respond until over "10-15 minutes". Interview with R3 revealed R3 is not concern if call is not responded if it is regarding needing clean up assistance. R3 stated R3's concern is if the call light is in regards to an emergency, R3 is unsure other residents can wait that long for help. Based on the allegation, staff are not following residents care plans , the allegation is SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following allegation cited above is substantiated, please see LIC9099-D. Exit interview conducted, and a copy of the report and appeal rights was provided.