complaint·February 7, 2024

R1 stated she provided the orders and prescriptions to Staff 1 (S1). S1 is no longer an employee at the facility and was unable to interviewed. During the initial complaint visit on 12/24/2020, the doctor’s order was not obtained. LPA Banrasavong asked the current Executive Director, Subashani Kumar, if the facility retained doctor’s orders for the Intravenous Therapy (IV), for R1. Kumar stated that she could not provide those documents to the LPA, because the document was not retained in R1’s files. It was also advised that there were no records for Resident #1 on the facility database. Executive Director, Kumar further stated that the facility, does not have a registered nurse who works at the facility. Therefore, an appropriate skilled professional was not readily available to assist R1. Staff 2 (S2), who was a staff member during the 2020 year, indicated that during the 2020 year, Covid protocols were being implemented. The facility offered to have R1 get sent out to the emergency room to get Intravenous therapy, but R1 refused. This information was documented in R1’s notes dated 12/15/2020 and 12/16/2020. In regards to the allegation that staff are not meeting the needs of the resident, it was stated by R1 that R1 made the request for facility staff to administrate the IV, however there were no doctor’s order that were able to be obtained during the course of this investigation. During the investigation, it was revealed that the facility stated they were not going to administer the IV solution due to what the Executive Director stated was Licensing’s regulations. The alternative solution presented to R1 was to have the resident leave the facility and get IV administer at the hospital. R1 refused to go to the hospital due to the Covid restrictions at the time of the complaint. This information was documented on the Resident #1s notes on 12/15/2020. Based on LPA’s observations and interviews which were conducted and record review(s), the above allegation(s) is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, along with appeal rights was given to the Resident Service Director, Nicole Stinson as evidenced by her signature.