complaint·September 26, 2023

[Continued from LIC9099] During investigation, LPA Domingo collected pertinent resident records as well as facility documentation. Based on Resident1’s (R1) (See LIC811 list of confidential list of identification)Physician Report dated January 11, 2023 revealed that Resident 1 (R1)  does not have cognitive deficits.  R1 is able to verbalize any needs or concerns. R1 is able to state who is to visit and not to visit. Allegations received stated that R1 was not accorded privacy . According to Outside Source 1 (OS1), R1 verbalized wanting facility staff to be present during visits.  Outside source 2 (OS2) also concurred and verified that R1 has requested a staff member to be present during visitations. Outside Source 3 (OS3) wrote a statement that also verified that R1 verbally stated that visitations are to be supervised. Allegation stated that R1’s medication was not given as prescribed. Records reviewed showed no evidence of medication not given as prescribed.  O3 was interviewed and stated that R1's medication was properly given.  O2 was interviewed and R1's medication was given as prescribed.  Staff 1 (S1) reviewed records of R1's medication and there was no evidence of medication not given as prescribed. Allegation stated that untrained staff provided catheter care for R1. Interview with Staff 2 (S2) revealed that R1's catheter was being cared for by a trained staff member.  Records reviewed revealed that R1 was taken to the hospital as needed when there was a medical need regarding R1's catheter care. Outside Source 4 (OS4) was interviewed and corroborated with R1's record review. Allegation stated that facility staff did not obtain medical attention for resident. OS4 was interviewed and there were no instances of staff not obtaining medical attention for R1. S1 was interviewed and R1's medical needs were being met. Records reviewed documented R1's medical needs were being met by the facility staff. [Continue on LIC9099] [Continued from LIC9099] Lastly, it was alleged that facility staff did not notify responsible party of changes in resident condition.  Records reviewed documented communication with responsible party of all changes related to R1.  OS1 was interviewed and verified that any changes were communicated.  LPA Domingo reviewed records that collaborated any changes with R1 was communicated. Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated . An exit interview was conducted with Administrator  Elizabeth Najera, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.