complaint·May 9, 2022

The department was able to review a list of medication as part of R1's care plan from the hospice agency. The medication records were written on on-going notes provided by the hospice agency and on the centrally stored log of medication for each medication that came into the facility. These records confirmed that R1's medication were sent to the facility and the notes support that the medications were given as needed per the doctors orders. The facility did not use a Medication Administration Record (MAR) to track the daily use of the medication given. LPA could not determine if medication were missed or not given as reported. Allegation: Licensee did not maintain a record of doses of medications The records reviewed indicated that the facility was using a form of documentation to track the controlled medications given including Morphine and Ativan. The documentation was written on a Nurse's Medication Notes. The other medications given were not documented on a MAR. LPA was able to determine that some medications were given but could not establish that all were given based on reported information and records reviewed. Allegation: Licensee did not inform responsible party of resident's change in condition. Based on records reviewed the facility provided R1 with the care addressed in the hospice services plan. R1 was on hospice when discharged to the facility and may have had a change in conditions that was a normal process in the expected outcome for R1's prognosis as a hospice patient. When R1 moved out of the facility the excepting facility did not assess R1 at his then current facility prior to R1 moving out. R1 moved out without notice to the facility. Allegation: Facility does not serve residents balanced meals. Based on records reviewed and interviews with 2 of 4 residents in care the facility according to those interviewed confirmed that the facility provides the residents with good meals. LPA was unable to determine if R1 was receiving balanced meals at the time of the complaint. LPA was able to review a menu used as a sample for the time period that covered the reported complaint timeline. The department has investigated the above allegations and finds the allegation to be UNSUBSTANTIATED. A finding that a complaint 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 did or did not occur, therefore the allegation is unsubstantiated.