complaint·April 28, 2023

Interviews with residents revealed that toileting needs are met. During staff interviews, it was discovered that the facility unit does not keep toileting log as all residents require some toileting assistance. Allegations 3: Staff mismanaged residents’ medication; and Allegation 4: Staff are not adequately trained. LPA observed that the medication room is locked and secured. LPA confirmed that unit staff present during today’s visit hold active certified nursing assistant (CNA) and licensed vocational nursing (LVN) licenses. Staff interviews confirm that medication training includes watching medication management and administration videos and at least 40 hours of hands-on shadowing with a tenured medication technician. LPA observed staff administering medication to a resident during meals. Allegation 5: Staff failed to properly supervise residents resulting in residents falling. LPA reviewed special incident records and found that R1 had three reported falls in 2019. LPA found that the facility reported three resident falls and two hospitalization not related to Covid-19 between 2021 through 2023. LPA observed multiple residents ambulating, independently and with walking assistive devices, and residents who use wheelchairs. Based on the information from today's investigation, these five allegations are therefore unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means 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 was discussed and provided to Denise Perez, Memory Care Director.