Complaint·June 11, 2024

On 5/6/2024, 6/3/2024 and 6/11/2024, LPA observed activities occurring in the common room area. Administrator provided an activities calendar and stated they typically follow the calendar closely, unless one activities is more engaging or preferred by residents. Residents interviewed stated they liked the activities provided and usually participate. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. On the allegation: Staff do not adhere to resident's special diet as prescribed. It was alleged that Resident 1(R1) had a special diet prescribed as a result of a medication being taken, but the special diet was not implemented. LPA reviewed the special diet forms in the facility and did not observe one for R1. Administrator and memory care director fill out the forms, sign it and have the dietary director sign. The form includes the resident’s name, picture, special diet description and effective date. Administrator stated they clarify special diet orders when needed, such as recently clarifying a “no dessert” order to see if fruit or sugar free ice cream was acceptable. Administrator stated they immediately review orders for special diets and implement them. LPA reviewed R1’s file and did not see an official order for a special diet. However an after visit summary did indicate a bland diet after vomiting. R1’s responsible party did not respond to LPA’s request for interview. Based on the information obtained, there was insufficient evidence to prove the allegation occurred. Therefore the allegation is deemed Unsubstantiated at this time. On the allegation: Staff do not ensure that resident is provided their medication(s) as prescribed. It was alleged that medication information was not passed between shifts. Administrator stated they use end of shift reports to communicate information about residents to the next shift. Administrator stated when a new medication or order is received, the order is usually faxed or emailed to the facility. Alternatively, if the order is sent directly to the pharmacy, they follow up with the pharmacy and/or doctor to obtain a copy of the written order. Administrator stated updates in orders get updated directly in their Quickmar system. Administrator stated if medications are discontinued, the medications get archived in the Quickmar. Continued on 9099-C When staff notice that a medication is discontinued, they turn the bubble pack around and bring it up to management. The resident care coordinator or memory care directly pull the bubble packs and follow discontinued medication procedures to destroy it. New orders are also put in the binder sticking out to notify other staff of changes. LPA reviewed medications and observed discontinued medications in the Quickmar. Based on the information obtained, there was insufficient evidence to prove the allegation occurred. Therefore the allegation is deemed Unsubstantiated at this time. Exited interview done, copies of report given to Designee.