complaint·July 18, 2025

According to interviews, R1 had an witnessed fall that resulted in a bruise, R1 was actively receiving end-of-life services, and an outside source agency was contacted to evaluate R1 post fall. Records collected revealed that R1 was visited by outside source agency to be evaluate for fall and was found to be a bruise. Interview with Administrator revealed that after R1 complained of further pain, Administrator advocated for R1 to receive imaging where it was found that R1 had a fracture. After correct diagnosis, R1 received pain medication but no further medical treatment was chosen by R1. It was also alleged that facility does not staff enough employees to meet the residents’ needs. Schedule collected revealed that there are two present staff during day shifts and one staff on overnight shifts. Records collected revealed that there are no two person assist residents present at the facility. Interviews with staff revealed that they feel adequately staffed. Interview with outside sources confirmed that there are usually a minimum of two staff present during the day. The third allegation states that R1 did not receive one does of morphine on an undisclosed date. Medical administration records (MAR) revealed that R1 receives morphine numerous times a day and is prescribed morphine as both as needed prescription and a routine prescription. Interviews with staff did not reveal any information that R1 did not receive a dose of their routine medication. Review of MAR did not reveal any routine doses missed. The fourth allegation states that staff are not trained to administer medication. Records collected revealed that all staff have received medication management training within the last month from an outside source agency. Interviews with multiple residents established that they receive their medication timely and regularly. Interview with outside sources established that they have not witnessed any medication mismanagement or untrained staff issuing medication. Interview with Administrator established that if a staff member is not comfortable with issuing medication, the Administrator will issue medication to residents in care. The fifth allegation states that soiled undergarments and urine-soaked bedding were being left in the resident’s room for extended period of time. On today’s date, LPA Strong conducted a facility inspection and did not observe any waste containers with the items mentioned above, in addition, LPA did not smell any malodors anywhere within the facility. Lastly, interviews with staff revealed that it is mandatory for them to dispose of any soiled undergarments soon after they are removed from a resident. Multiple interviews with outside sources revealed that there have been no witnessed events of overly full trash or malodors in the facility. Lastly, it was alleged that there are no activities for residents. Interview with multiple residents revealed that they are offered numerous activities throughout the day but often refuse to do them. Interview with staff established that resident activities include board games, gardening, walks, manicures and stretching. Interview with outside sources revealed that there are no concerns regarding the activities available to residents in care. Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Administrator, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.