complaint·November 7, 2024

LPA interviewed caregiver in which she stated resident would normally eat a large breakfast, sleep through lunch, and have a snack and then eat dinner. Depending on the day resident would sleep in and once awake they would offer breakfast. Caregivers had to assist with feeding resident due to resident limitations. LPA interviewed hospice nurse in which they stated there were not issues with staffing feeding resident properly. The nurse stated resident was sleeping more frequently so his mealtimes were frequently different then the normal meal hours. Due the information gathered LPA finds allegation to be UNFOUNDED. The allegation is UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted and copy of report provided. Relevant Party indicated that caregiver was rough with resident during care. LPA interviewed caregiver in which she stated she was never rough with resident during care. Caregiver stated resident had behaviors of aggression at times, but she was never rough with him. LPA interviewed administrator in which she stated she has never received any complaints or concerns about caregiver being rough and has never witnessed caregiver being rough with any residents. LPA interviewed hospice nurse in which he stated he never observed caregiver being rough or heard of any complaints about caregiver being rough. Hospice nurse stated that resident did have behaviors of aggr ession, but they were stabilized with the proper medications. Due to the conflicting information gathered, LPA finds allegation to be UNSUBSTANTIATED. LPA investigated allegation, “Staff left resident in soiled briefs which resulted in an infection.” LPA conducted a file review and interviews with staff and witnesses. Relevant party indicated resident was left in urine soaked briefs which lead to resident having a fungal infection. LPA interviewed the caregiver in which she stated upon resident being admitted to the facility the staff and hospice groomed resident and cleaned him and found a fungal infection. Hospice nurse was aware and prescribed medications to clear the infection. Caregiver stated resident had behaviors of taking off clothing and briefs but caregivers always cleaned resident and made sure he was dry. LPA interviewed hospice nurse in which they stated caregivers were taking good care of resident and keeping resident clean properly. Nurse stated resident did have a fungal infection they were treating but did not know the cause of the infection. Hospice nurse stated he had no concerns with the care being provided. Due to the information gathered LPA finds the allegation to be UNSUBSTANTIATED. LPA investigated allegation, “Staff shaved a resident in care without permission.” LPA conducted a file review and interviews with staff and witnesses. Relevant party indicated that caregiver shaved resident’s eyebrows and mustache off without anyone’s consent. LPA interviewed caregiver in which she stated when resident was admitted into the facility, he was disheveled and needed to be groomed. Caregiver and hospice helped shave and groom him, but they did not shave off his eyebrows. LPA interviewed the hospice nurse in which he stated grooming and shaving resident was on resident hospice care plan. Hospice nurse stated he could not recall if resident’s eyebrows were shaved. Due to the information gathered LPA finds allegation to be UNSUBSTANTIATED. Continuation on 9099-C. LPA investigated allegation, “Facility violated resident’s personal rights.” LPA conducted a file review and interviews with staff and witnesses. Relevant party indicated resident was denied phone calls and visitors at the facility. In addition, Relevant party indicated facility was denying resident his mail. LPA interviewed administrator in which she stated resident was never denied visitors, mail, or phone calls. Administrator stated she picks up the facility mail and resident did not receive much mail. LPA interviewed caregiver in which she stated she did not deny resident visitors, calls, or mail. Caregiver stated resident slept a lot during the day so sometimes someone would call the facility phone and the caregiver would report that resident was sleeping and to call back later. Caregiver stated she’d always relay messages to the resident once resident woke up. LPA interviewed the hospice nurse in which he stated he didn’t witness caregivers denying resident phone calls or visitors. Due to the information gathered LPA finds allegation to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. Exit interview was conducted and copy of report provided.