complaint·October 20, 2022

LPA reviewed R1’s centrally stored medication record and observed no missing information. LPA also observed all medications listed were prescribed by a physician, and did not notice any medications that were refilled too soon. LPA conducted a medication audit of a sample of medications at the facility, and observed they were given as prescribed. Based on record review and interviews this allegation is deemed Unsubstantiated at this time. On the allegations: Staff refuse to allow resident's friend to visit and Staff do not allow resident to visit privately with a friend. It was alleged that a staff forced R1’s visitor to leave after R1 became very upset and refused this visitor to visit on many occasions. LPA interviewed staff who stated R1 had a friend who would refuse to follow COVID-19 protocols and wouldn’t show proof of vaccination, fill out the symptom screening questionnaire, or wear a mask. Staff stated that the visitor was very persistent and they allowed the visitor access to the resident but would be close by to ensure they wore a mask and stayed 6 feet away and wouldn’t touch the residen t, per the COVID-19 restrictions at the time. Staff also stated that R1 would get very agitated and start yelling and screaming when only a certain visitor would come, so they would ask that visitor to step out for a few minutes into the living room while they calmed R1 down. LPA attempted to interview the reporting party (RP) for more information about this visitor and the facility restricting visitation, but the RP refused to speak with the LPA. Based on interviews this allegation is deemed Unsubstantiated at this time. On the allegation: Level of care. It was alleged that Resident 1 (R1) was bed bound and should be in a skilled nursing facility. LPA interviewed staff that stated R1 was non ambulatory and could sit up, turn over and walk. R1 preferred to be in bed all day due to being scared of falling. Staff stated R1 had many falls at their previous facility and would be scared to walk and get up. LPA verified that the facility was fire cleared for 6 non ambulatory and one bedridden resident. Staff stated they were able to meet all of R1’s needs. LPA reviewed R1’s physician’s report and needs and services plan, and observed R1 did not have any needs listed that would be outside of the scope of an RCFE. Based on record review and interviews this allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report emailed to Administrator/Licensee.