complaint·July 20, 2021

adequately care for a resident's catheter. Based on evidence/record review/ interviews obtained during today’s visit, LPA has determined that the above allegation is UNSUBSTANTIATED; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed and a copy was provided to the Administrator. denied receiving an incorrect dosage of medications. R1 and Resident #2 (R2) stated that they are both getting all of their medications on time. R1, R2, and Resident #3 (R3) denied ever feeling over-medicated. LPA reviewed the facility's Medication Administration Record (MAR) in which it appeared that staff are administering medications appropriately. In regards to allegation #3, LPA interviewed R1, R2, and R3 who all stated that they receive three meals a day plus snacks in between meals. R1, R2, and R3 stated that they believe the meals provided are nutritious. LPA interviewed S1, S2, and S3 who all stated that all special diets and alternative food requests are accommodated. LPA observed that residents were eating a nutritious and sufficient portion of food at the time of visit. LPA also reviewed the facility's food menu in which it appeared that the facility was providing adequate food service for residents in care. In regards to allegation #4, LPA interviewed R1, R2, and R3 who stated that their rooms are comfortable. LPA conducted a walk-through of several rooms and buildings of the facility and observed that the room temperature was set between 74 degrees F and 75 degrees F. In regards to allegation #5, LPA interviewed S1 who stated that some time around Spring 2020, a water pipe had busted underneath a bathroom tub, which affected two rooms. S1 stated that the facility did have running water; however, the two rooms that were affected by the water pipe bursting did not have hot water According to S1 and S2, the residents in those two rooms had access to hot water in another bathroom down the hall. LPA tested the hot water in affected rooms in which it appeared hot water was being dispensed through the sink faucet. In regards to allegation #6, LPA interviewed S1, S2, and S3 who stated that all changes of condition are reported to appropriate persons. S1 and S2 both stated that the facility does not have an Independent Living building, only Assisted Living and Memory Care. S2 stated that Resident #4 (R4) did have a change in condition; however, R4 was immediately placed in a skilled nursing facility. In regards to allegation #7, LPA interviewed S2 and S3 who stated that hospice agencies do provide training for catheter care. S2 and S3 stated that facility staff only empty catheter bags; however, the resident's hospice agency will provide the rest of the care for a resident's catheter. S1 and S3 denied that staff did not that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report (LIC 9099A) was discussed and a copy was provided to the Administrator.