complaint·July 14, 2022

On the allegation: Improperly restraining resident in care. LPA conducted staff interviews which revealed some staff tie R1’s wheelchair wheels so he can’t move around the facility. LPA reviewed R1’s file and R1 does not have current doctor’s orders for the postural supports being used with R1. The facility does not have any approved exceptions on file with the department for R1 and/or the postural supports being used: Wheelchair with Seat Belt, Seat Belt with PIN, and Gait Chair which are limiting R1’s abilities in using R1's hands and feet, as well as R1 is unable to quick release from the postural support being used. Based on the evidence this allegation is Substantiated at this time. On the allegation: Behavior modification plans are not updated to reflect current needs of resident. LPA interviewed staff and requested documentation. Interviews with staff revealed the facility resident and staff files were not current and up to date at the facility. LPA requested documentation on 10/29/2020 which was not provided by the facility until 6-10 days later. The documentation received on 11/05/2020-11/09/2020 was up to date at the time is was sent to the department. The facility is required to have records readily available to the LPA for inspection when requested. Based on the evidence this allegation is Substantiated at this time. The deficiency and plan of correction for this allegation is being addressed and issued on complaint number 29-AS-20200916132639. On the allegation: Staff are not trained properly to meet the needs of the resident. LPA conducted interviews with staff that revealed they have not had any dementia training, they do have online training provided but no in-person or hands-on training is being completed. LPA requested and reviewed training documentation which reveals the facility staff do not have any current dementia training. Based on the evidence this allegation is deemed Substantiated at this time. The deficiency and plan of correction for this allegation is being addressed and issued on complaint number 29-AS-20200910110658. Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Administrator.