complaint·August 30, 2023

{Con't from LIC9099} Regarding the allegation: Staff do not distribute residents’ medications as prescribed. LPAs reviewed residents’ medication administration record (MAR) for January 2023 and conducted medication audits of 3 residents in care during today’s visit to determine that medications are being given as prescribed. LPAs also interviewed current residents in care and observed medication passing. Based on record reviews, it was revealed that the medications on the MAR have been consistently given to residents in care during the month of January 2023. Based on residents’ interviews conducted and medication audit, it was revealed that current residents in care are receiving their medications routinely and when needed. LPAs observed resident being given medication(s) on a timely manner during medication passing. Based on record reviews, interviews and observations, it is determined that the preponderance of evidence standard has not been met, therefore, this allegation is UNSUBSTANTIATED. Regarding the allegation: Staff do not assist residents with bathing. LPAs conducted resident interviews as noted above and conduct additional facility observation. LPAs also reviewed resident care plans. Based on observation of facility and residents, LPAs did not observe foul odors to indicate lack of bathing during observation. Additionally, residents’ skin appeared to be free of dirt and they appeared clean in appearance. Based on interviews of current residents, it was determined that residents in care are receiving bathing assistance from staff. Based on record reviews, residents in care have care plans which include bathing and dressing, as well as documentation indicating bathing and dressing were performed. As a result, there is not a preponderance of evidence to conclude resident is not receiving regular bathing assistance, and this allegation is UNSUBSTANTIATED. {Con't to LIC9099-C} {Con't from LIC9099-C} Regarding the allegation: Staff do not assist residents in grooming. LPAs conducted resident interviews as noted above and conducted additional facility observation. LPAs also reviewed resident care plans. Based on observation of facility and residents, LPAs observed resident's appearance do not indicate lack of grooming during observation. Residents observed appeared to be well-groomed: nails cut, hair is combed, wearing appropriate clothing based on current weather conditions, and face clean shaven. Based on interviews of current residents, it was determined that residents in care have been receiving grooming assistance from staff. Based on record reviews, residents in care have care plans which include grooming assistance as well as documentation to indicate grooming assistance is performed. As a result, there is not a preponderance of evidence to conclude resident is not receiving regular grooming assistance, and this allegation is UNSUBSTANTIATED. An exit interview was conducted with Administrator Caleb Summerhays and a copy of this report and appeal rights were provided to Caleb Summerhays.