complaint·August 15, 2024

It was alleged that staff did not prevent resident from falling. Interviews revealed R1 did have a fall. Interviews revealed that the staff work closely with the residents and sometimes they just fall. Interviews revealed that staff can be right next to the residents and they will still fall. All staff try to prevent residents from falling and hurting themselves. Interviews revealed that R1 fell on October 2, 2023 by tripping over their foot after exercising and sustained injuries to the side of their face. Interviews revealed staff called 911 and R1 sustained a cut above their right eyebrow. Interviews revealed they contacted R1s RP and advised them of the incident. It was alleged that staff did not ensure that resident was adequately hydrated. Interviews revealed the staff kept the two clients hydrated by asking them did they want water and when they refused they offered for them to take a sip. Interviews revealed there was also something available for the residents to drink to stay hydrated at all times. Interviews revealed there were times one of the residents would refuse to drink but after a few prompts they would take a drink. Interviews revealed the staff conducted rounds hourly or as needed and the staff would ask if they would like something to drink each round. Interviews revealed all residents have a 16 oz cup of water in their rooms that is refilled as needed. It was alleged that staff did not follow resident's care plan. Interviews revealed the care plan was followed and maintained by staff. Interviews revealed the staff shower R1 twice a week at minimum. Interviews revealed staff would change R1 clothes everyday as well. Interviews revealed that there was no set care plan in place for showers they just completed the task. It was alleged that staff did not effectively communicate with resident's responsible party. Interviews revealed the staff communicated with the Responsible Party (RP) daily or as needed. Interviews revealed the RP would call and request things of the staff and they would comply. The staff know how to call 911 and the administrator in case of an emergency and can effectively communicate with emergency personnel if need be and the RP. It was alleged that staff did not allow resident's responsible party access to resident's room to retrieve the resident's clothing. Interviews revealed that R1 shared a room with another resident. Interviews revealed one day the RP arrived at the facility while the other resident was taking a nap and they requested to go in and retrieve R1’s items. Interviews revealed staff explained to them the the other resident was asleep and that staff would retrieve the items for them. Interviews revealed anytime there was an issue the staff would contact the RP with the issue. It was alleged that staff are not available to the residents at night. Interviews revealed the staff are awake staff and they continuously monitor the residents as they sleep, watch television or just lay in their beds. The staff will continue to do their rounds and check to make sure all of their needs are met. It was alleged that staff did not follow resident's admission agreement. Interviews revealed that the staff followed R1s admission agreement. They did not provide transportation for the residents. The agreement was signed and it stated that they would provide the transportation. Interviews revealed R1 and the RP discussed transportation and stated that they would try to assist in transportation and once staff spoke with their insurance they decided they would not be providing transportation to residents. Interviews revealed that once the decision was made not to provide the transportation they contacted the RP and advised them of the situation. RP was not happy with the decision and voiced their concerns about the facility not providing the transportation as stated in the admission agreement. It was alleged that staff did not assist resident with making phone calls. Interviews revealed that staff assisted R1 in making phone calls to their significant other. Interviews revealed there were times when R1 would want to talk and other times they did not. Staff revealed they cannot make the resident talk on the phone if they don't want too. Interviews revealed that there were a couple of times the significant other did not answer their phone, however staff would leave a message. There were not any supporting witness statements to substantiate the allegations of the staff did not seek resident timely medical attention, staff did not prevent resident from falling, staff did not ensure that resident was adequately hydrated, staff did not follow resident's care plan, staff did not effectively communicate with resident's responsible party, staff did not allow resident's responsible party access to resident's room to retrieve the resident's clothing, staff are not available to the residents at night, staff did not follow resident's admission agreement and staff did not assist resident with making phone calls. An exit interview was conducted with Stephanie Conwright, Staff. A copy of this report and the Licensee's Rights (LIC9058 03/22) were provided at the conclusion of the visit.