complaint·April 14, 2022

On the allegation: Facility lacks adequate supplies. Based on interviews conducted and observation from the Facetime video walk through, it was determined that the facility had adequate supplies for the residents. Observations and interviews revealed no issues regarding supplies in hygiene, bedding, cleaning items or toiletries at any time. Based on the information obtained, the allegation is deemed unsubstantiated at this time. On the allegation: Facility is odoriferous. LPA Olson conducted a tour of the facility on 4/14/22. LPA did not observe any odors in the facility. Interviews with residents and staff also revealed no issues with odors. Based on the information obtained, the allegation is deemed unsubstantiated at this time. On the allegation: Facility lacks a food menu. On 9/10/2020, the administrator provided a copy of the facility’s sample menu. The facility is not required to keep or provide an accurate weekly menu due to its capacity, and is only required to have a sample menu on file. Based on the information obtained, the allegation is deemed unsubstantiated at this time. On the allegation: Facility is in disrepair. It was alleged that the facility’s garbage disposal was broken for 18 months. On the 9/10/2020 visit conducted by LPA Jeffries, the LPA observed the garbage disposal was not working and the administrator acknowledged it. Administrator stated it was repaired in November 2020 and took over a month for the part to arrive due to COVID-19. The garbage disposal did not effect resident care. Resident and staff interviews revealed the facility was in good working order and they had no concerns. Based on the information obtained, the allegation is deemed unsubstantiated at this time. On the allegation: Residents are not being given the right medications. The complainants concern was that doctors and nurses were not prescribing the right medications which is not a Title 22 regulation. LPA reviewed medication records for August and September 2020. The Medication Administration Record (MAR) indicated all medications were given as prescribed. On 4/14/22, Administrator explained the facility’s medication process that includes 2 staff verifying the medications before they are provided to the residents. One staff prepares the medications for each med pass and a second staff verifies the medications. LPA reviewed a sample of medications and noted all medications reviewed were given as prescribed. Based on the information obtained, the allegation is deemed unsubstantiated at this time. Continued on 9099-C On the allegation: Facility lacks a fire extinguisher. On the 9/10/2020 Facetime walk through, LPA Jeffries noted multiple fire extinguishers in the facility. On 4/14/22, LPA Olson observed 4 fire extinguishers, one in the kitchen, one in the office, one in the North wing and one in the South wing. All 4 were were fully charged. Based on the information obtained, the allegation is deemed unsubstantiated at this time. On the allegation: Facility does not provide a safe environment for residents. It was alleged that the front yard of the facility had “a lot of needle weeds” which posed a potential danger of scratching residents. LPA observed the facility has a large, fully paved driveway and walkway in the front yard. On 3/18/22 and 4/14/22, LPA Olson observed no overgrown or dangerous plants in the front or back yard. On 10/5/2020 and 4/14/22, residents interviewed stated they felt safe and comfortable at the facility. Based on the information obtained, the allegation is deemed unsubstantiated at this time. Exit interview, report emailed.