complaint·July 1, 2024

R1 said that staff assist them with toileting, and will clean them up if they can’t make it to the toilet. R1 said staff do a good job, but sometimes R1 has to wait up to an hour or two for assistance. R1 said that the staff are kind to R1. R1 reported no issues with medications, and said that staff give PRN medications when R1 asks for them. LPA Moleski reviewed R1’s file. R1 is scheduled to receive showers twice a week. Interviews with staff indicate that R1 often refused showers and other care. None of the staff members interviewed reported concerns over R1’s hygiene, or over the frequency of R1’s showers. LPA Moleski reviewed one months’ worth care notes for R1 and observed R1 received six showers between 3/9/24 and 4/8/24. A refusal of a shower is documented in the notes. LPA Moleski reviewed R1’s MARs dating from August 2023 to May 2024. LPA Moleski observed no indication that R1’s medications were mismanaged. R1 appeared to have received all prescribed medications as needed. LPA Moleski did not observe any indication that R1 had received any laxatives during night shifts, as alleged. LPA Moleski observed one dose of PRN laxative given on the afternoon of 9/25/23, and a note on the MAR indicates that it was given at the request of R1’s RP. None of the staff members interviewed knew of any incident wherein PRN laxatives were given without authorization. LPA Moleski reviewed R1’s billing information, invoices, meal tickets, and tallies of R1’s room service deliveries. LPA Moleski reviewed several weeks’ worth of meal tickets and observed that R1 was regularly receiving meals. LPA Moleski did not observe any indication that R1 was overcharged for room service. LPA Moleski observed that the documented number of room service deliveries matched the amount charged, per the rate of $15 per delivery after 6 deliveries per month. Staff interviews indicate that R1 usually did not want to come down for meals and preferred room service. None of the staff interviewed had observed any other staff members acting rudely or disrespectfully to R1. LPA Moleski interviewed three residents (R2-R4) who liked to eat meals with R1 when R1 was able to come down into the dining room to eat. None of the residents interviewed had observed any staff members acting rudely or disrespectfully to R1. [continued on 9099-C] LPA Moleski reviewed 30 days’ worth of call button response times for R1 dating from 3/9/24 to 4/8/24. The average of response times is approximately nine minutes. None of the response times range over an hour. None of the staff members interviewed were aware of any situation wherein R1 needed to wait for toileting assistance for over an hour. The department has determined the following as it relates to the allegations that staff did not provide adequate food service, that staff did not meet a resident’s toileting needs, that staff did not meet a resident’s showering needs, that staff did not treat a resident with respect, that staff overcharged a resident, and that staff mismanaged a resident’s medication: Based on interviews, observation and record review, the above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies were cited regarding the above allegations. An exit interview was held and a copy of this report was left with Revera.