complaint·July 14, 2022

LPA received documentation on 09/18/2020, 09/23/2020, 10/13/2020, 11/05/2020, 11/06/2020 and 11/09/2020. LPA reviewed all documentation on 07/12/2022 at 2:00 PM. On the allegation: Resident's files are inaccurate. LPA conducted interviews with staff and witness which revealed R2 was sent to the hospital in 08/2020 without an up to date emergency face sheet that R2 was on a pureed diet. LPA observed the face sheet that was sent with resident at that time which did not reflect that R2 was on a pureed diet. LPA reviewed R2’s Hospital Discharge packet which revealed discharge diet was a regular diet and did not mention pureed diet. LPA conducted interviews that revealed the resident and staff forms were not up to date at the facility and after the 09/17/2020 complaint visit the facility staff began updating all the facility files on residents and staff. LPA requested documentation on 09/17/2020 from the facility and on 09/18/2020 LPA was sent Emergency Face Sheets for each resident in care that seemed to be up to date. The updated document for R2 did reflect R2’s pureed diet. The facility was unable to send all the requested documentation LPA requested due to the facility files not being up to date and accurate, therefore the allegation is deemed Substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Administrator.