complaint·May 22, 2024

On 03/23/2023, LPA attempted to interview R1 and R2. Both R1 and R2 could not answer basic cognitive screening questions. On 03/30/2023, LPA conducted a full review of R1 and R2’s medical files. R1 had a ‘Podiatric Evaluation and Treatment’ conducted by Dr. Tisngson, DPM, singed and dated on 03/23/2023. R2 had medical chart notes stating, “RSD (Podiatrist) tried to check residents’ toenail today, but resident refused….” Additionally, R2 had chart notes on 03/16/2023, that stated, “Resident went to see a Podiatrist today …” On 03/23/2023, LPA interviewed, Direct Care Staff 1-4 (S1, S2, S3, and S4). S1-4 all stated that R2 dose not respond to hygiene prompts, and refuses self-care help on a daily basis. Interviews of R3, R4, R5, and R6, all say that facility care staff do a good job at addressing any issues they have and feel safe and cared for in this facility. On 03/23/2023, LPA also viewed fire extinguishers throughout the facility to be in regulation compliance (87203), staffing to be in sufficient numbers and resident counsel meeting being conducted monthly with scheduled meeting posted on facility bulletin board. At this time there is not enough evidence to support the allegation of, “Staff failed to observe resident’s nail care needs.” and is unsubstantiated at this time. Exit interview, report read, report singed, and report provided.