complaint·September 15, 2022

87465 Incidental Medical and Dental Care (a) (4) The licensee shall assist residents with self-administered medications as needed. At admission on 12/13/21, R1’s medications were mistakenly moved to a different part of the building resulting in days of not being assisted with prescribed medications. Interview conducted found that S1 had mistakenly packaged Aspirin for R1 for an outing. R1’s responsible party found the error and did not assist R1 to take the Aspiring not prescribed for R1. During the course of this investigation there was an incident where S1 gave R2 medications not prescribed to them on 7/30/22. 87465 Incidental Medical and Dental Care (a)(3) When residents require prosthetic devices, vision and hearing aids, the staff shall be familiar with the use of these devices and shall assist such persons with their utilization as needed. Interviews found that between Jan.- May 2022, R1’s hearing aid was not properly assisted by care staff. On 5/6/22, facility provided an in-serve staff on removing, storing and charging R1’s hearing aid. As a result of this investigation, LPA finds allegation to be (S) 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 deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with ED . Copy of this report and appeal rights provided. Facility smell malodorous- unable to verify as resident had moved. Other residents were observed at multiple visits and the home was odor free. Facility did not meet resident's dietary need- unable to verify as resident had moved. Other interviews did not meet the preponderance of evidence. Resident’s reported satisfaction with the food. Staff are retaliating against resident regarding complaints filed- unable to verify as resident had moved. Other interviews did not meet the preponderance of evidence. Staff do not answer residents' call button in a timely manner- Call records and Narrative Charting did not show a correlation between R1 fall incidents and long wait times. Staff interviews reported that R1 would rarely use their call button for assistance. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator.