complaint·May 24, 2023

In interviews of R1 by EMT on 10/22/2022 and by LPA on 10/27/2022, R1 indicated no recollection of assault event. Facility had more then enough staff on shift during this time. Facility exercised due diligence, notifications and immediate action pertaining to the circumstances of this incident. There is no evidence to support that the facility was understaffed or negligent in, “Resident physically assaulting another resident in care,” and the allegation is unsubstantiated at this time. As to the allegation of, “Resident is not given showers.” It was discovered through interviews, and documentation that R1 had showers scheduled by staff 7 days per week. From June 2022 through October 2022 there are 21 documented refusals for showers by R1. Interviews with Staff 1 – 5 all confirm that R1 would often refuse showers. Staff 1 – 5 stated they document and report when residents refuse showers. LPA attempted to interview Residents 1 – 6 In memory care as to shower frequency and schedule, however all answers were inconclusive. At this time there is not enough evidence to support the allegation of, “Resident is not given showers.” And is unsubstantiated at this time. As to the allegation of, “Facility did not provide resident with soap.” It was discovered through documentation, interviews and observation that it was observed by LPA that there was pearl-white soap in the soap dispenser on the bathroom sink in R1’s room that was free and clear of grime and/or other substance on 10/27/2022 and 11/17/2022 LPA did not observe any grim or forging substances on the soap dispenser on the wall of the bathroom. Staff duty logs indicate that staff address restocking bathrooms on a weekly basis and as needed. Interviews with S1, S2, S3, S4, S5 and S6 all indicated that soap and other bathroom amenities are stocked regularly and as needed. Based on interviews, documentation, and observations, there is not enough evidence at this time to support the allegation of, “Facility did not provide resident with soap.” and is unsubstantiated at this time. As to the allegation of, “Facility not properly caring for resident’s wounds.” It was discovered that R1 was in need of Podiatrist evaluation as early as November 2022. The facility has a Podiatrist that makes routine bi-monthly rounds, R1 was seen by this Podiatrist on 10/29/2022, 12/13/2022 and refused treatment, again on 12/27/2022 where toenails of R1 were clipped. Additionally, facility contacted R1’s primary physician in January 2023 to evaluate and address R1’s feet and skin care needs. Primary Physician and Nurse Practitioner addressed and treated both foot and skin conditions on January 11, 2023, according to documentation. Based on documentation there is not enough evidence to support the allegation of, “Facility not properly caring for resident’s wounds.” and is unsubstantiated at this time. CONTINUED on LIC9099-C As to the allegation of, “Resident’s responsible party did not receive a copy of the facility contract.” It was discovered that R1’s initial admission agreement (contract) was signed on September 30, 2017. When R1 added two children as Power of Attorney (POA) in October of 2021, both POA’s were provided copies of the original contract from September 30, 2017. In November of 2021, R1 moved to a higher level of care and into the facilities memory care unit. This was a change of level of care and not a change in the contract. At the time this complaint was issued, POA was assuming that a new contract was necessary for the change in higher level of care and moving to the memory care unit. During the LPAs investigation, the POA had received a copy of the original contract in 2017, in addition to receiving a copy of the original contract in October of 2021. Based on interviews with POA and Administrator, the original contract was provided to the responsible party when requested and the allegation of, “Resident’s responsible party did not receive a copy of the facility contract.” Is unsubstantiated at this time. Exit interview, report read, report singed, and report provided.