complaint·October 28, 2024

Based on records review, on R1s progress notes, R1 just came back to the facility on 12/25/2021 after being sent to the hospital on 12/24/2021 for a fall. From 12/25/2021, there were several logs in the note about observation of resident. At 9:54am, R1 came back from hospital, alert and responsive. Encouraged to increase fluid intake. Alert charting initiated. At 4:58pm, R1 was observed to be in the sofa, alert and responsive, no respiratory distress noted, R1 stated no pain, no nausea or vomiting at this time. On 12/26/2021, at 6:34am, R1 was observed to be fine, shows confusions and stated that “something on his/her legs not normal” and denied pain. At 10:13am, a note was entered for feet treatment. At 11:46am, R1 is participating in activities, alert and responsive, no respiratory distress noted. R1 stated no pain, no nausea or vomiting at this time, mentioned having a slight headache. Care staff notified R1 is having difficulty walking. There is a weakness noted on the left leg. At 2:03pm, Care staff notified that they were trying to transfer R1 from wheelchair to bed. R1 is unable to stand and care staff. R1 was assessed, has hard time to move left leg due to weakness. There is some weakness on her left hand noted as well. 911 was called and R1 was sent to hospital. LPA was able to interview eight staff members. S1 stated that when R1 Complains of leg pain, they ask the doctor as to what medication can be given. S2 mentioned that there are no issues with care for R1, never complains but refuses care sometimes. 911 was called right away when incident happened. S3, S5 and S7 all mentioned that they call a nurse to assess when something happens. LPA is not able to confirm the date provided by the complainant since there is no form of contact provided. A co-complainant also called but the same information was provided. Regarding the allegation of staff speaks inappropriately to residents, the co-complainant (CC) stated that S1 does not help any of the residents, but instead spends time on his/her phone shopping online. The RP states that when residents call upon S1 for help, S1 yells at them. CC states that staff can hear S1 yelling at residents on the radio. The RP states that S1 does not care about the residents or their well being. page 2 of 3 *** This is an amended report *** According to interviews of the 8 staff members, all mentioned of not being aware of any inappropriate treatment of residents by the staff. LPA was able to interview three residents and all mentioned that they are treated fine and are happy here in the facility. R2 mentioned that he/she is treated well by the staff, no one is inappropriate with him/her. R3 stated that they always come and help right away whenever he/she presses the pendant. R4 also mentioned that staff here are really nice and helps a lot when needed. Based on interviews, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Report is reviewed and copy is provided. page 3 of 3