Complaint·June 25, 2021

It was determined by EMTs and EC that R1 did not need to go to the hospital. S1 asked EMTs about dressing the wound on the back of R1's head. S1 stated the EMT told S1 that dressing the wound was S1s job. EMTs left the facility at approximately 7:00pm. S1 dressed the wound on the back of R1;s head, S1 left the door to R1's room open and checked R1's condition at 11:00pm, S1 stated that R1's response was :good and responsive". S1 assisted R1 with urination at 1:00am and 3:00am at the request of R1. S1 conducted a check on R1 for breakfast, R1 'grunted' at S1. At 10:00am EC for R1 arrived at the facility for a visit. EC stated that R1 was not very responsive but was moving arms and grunting but pupils would not dilate. EC instructed S1, to call if R1's condition worsened or change. S1 checked on R1 at 12:00pm, R1 was responding with grunting and resisted getting up, but no change from the morning check. S1 stated that they left R1s door open and monitored throughout the day. At 6:00pm S1 checked on R1, S1 stated R1s lips were dry so S1 swabbed R1's lips to help with hydration. At 7:00pm S1 swabbed R1s lips with noodle soup broth. At 11:00pm R1 noticed S1 was drooling, S1 then called EC, 911 and administrator. R1 was transported to hospital when EMTs arrived. Based on the interviews there is no evidence to support the allegation of, " Due to a lack of supervision, resident sustained a head injury while in care." therefore, the allegation is unsubstantiated at this time. As to the allegation of, " Facility staff failed to meet the needs of the resident."It was determined through interviews and observation that S1 had swabbed R1's lips with water at 6:00pm on 05/26/2021 due to R1's lips appearing dehydrated and not eating throughout this day. At 7:00pm S1 swabbed R1's lips with a noodle soup broth. S1 showed the ingredients of the soup to LPA on 06/10/2021. During the interview LPA noted that S1's pronunciation of "soup" sounds like "soap". LPA asked S1 to pronounce soup four times, all four pronunciations sounded like "soap" to the LPA. LPA asked if S1 had fed soap to R1, S1 stated, "of course not, I feed him soup. LPA did not discover any evidence that R1's needs were failed to be met. " Based on the interviews and LPA observation, the allegation of, " Facility staff failed to meet the needs of the resident." is unsubstantiated at this time. Exit interview, report emailed.