complaint·May 26, 2022

Interview with resident (R1) conducted on 11/24/2021 indicated that R1 was receiving visitors "if they wanted" and could see a nurse "if needed." Interview with Administrator indicated that a Home Health Nurse came to the facility to see R1 on a Saturday (believed date to be 11/20/2021) and met Home Health Nurse outside. Administrator told Home Health Nurse that R1 had already rejected services for Home Health, in which Home Health Nurse stated "OK" and left facility without entering. Administrator stated that Home Health Nurse could have come inside, but had left once told that R1 was rejecting Home Health. Interview with relevant parties indicated that R1 rejected services for Home Health. R1 is not conserved and has a right to refuse health related services. Allegation: Staff is not following physician's orders Interview with R1 conducted on 11/24/2021 indicated that R1 was not experiencing pain and that R1 receives medications as needed. Interview with Administrator indicated that R1 receives medications as prescribed by primary care physician. During inspection conducted on 11/24/2021, LPA conducted a medication count for R1 comparing R1’s Centrally Stored Medication Form (CSM) with medications centrally stored for R1. LPA did not observe any errors when comparing medication count with R1's CSM. Based on interviews conducted by the Department and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation 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 was conducted with Administrator and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents.