complaint·June 1, 2021

Allegation: Staff did not follow resident's hospice care plan. Complaint alleged the facility was feeding the resident (R1) solid foods. On 07/17/2019 R1 moved into the facility with a primary diagnosis of Huntington disease. R1's medical assessment indicates R1 has a special diet of pureed foods only. In September 2020 R1 began receiving hospice care services. R1's hospice care plan and resident assessment indicates R1 "does not converse but is able to say one/two words." Facility staff stated resident did not make requests for restricted foods outside of their special diet. On 05/26/2021 LPA spoke with the National Director of Licensing for Bristol Hospice who stated the nurse's notes did not indicate R1 was receiving solid foods orally from the facility staff. On 05/27/2021 LPA Llopis interviewed three (3) care staff specifically assigned to R1 who stated they received training in pureing foods for residents, and only fed R1 pureed foods. LPA attempted to contact R1's family member on 05/24/2021, 05/27/2021 and 05/28/2021 but was unable to make contact for an interview. No further evidence could be provided. Allegation: Staff did not ensure resident was properly cleaned after feeding. Complaint alleged the facility was not cleaning resident (R1) after being fed. On 05/24/2021 and 05/27/2021 LPA interviewed Administrator and three (3) of three (3) facility staff who stated R1 was cleaned frequently during meals and after meals. Staff stated R1 would need to be wiped down during and after meals. Administrator stated that every three (3) weeks R1's bed was scrubbed down as well. On 05/26/2021 the National Director of Licensing for Bristol Hospice stated the nurse's notes did not indicate R1 was not being properly cleaned after feeding. LPA was unable to make contact with hospice nurse due to them leaving the agency. LPA attempted to contact R1's family member on 05/24/2021, 05/27/2021 and 05/28/2021 but was unable to make contact for an interview. No further evidence could be provided. Due to the above information, CCL finds the allegations listed above to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview conducted, copy of report and appeal rights provided.