Complaint·July 26, 2024

Regarding the allegation that staff refused to administer residents’ medication. RP stated that when R1 returned to the facility, hospice was brought in two day a week to care for R1. RP stated that they had put R1 on morphine twice a day and staff (S3) didn’t want to give resident the medication because he/she was too heartbroken about R1s condition dwindling. During the interview, S1 and S2 mentioned that R1 was given morphine and the staff are not allowed to fill the syringe. Hospice needs to do it. A nurse comes to give it to R1. Based on records review, the staff are able to assist the resident by giving morphine which is in tablet form and also a PRN. Facility has showed records of days where PRN medication was administered and documented results. Regarding the allegation of staff did not notify residents authorized representatives in a timely manner of incidents, RP stated that R1 had a UTI in April, and the facility staff did not call the family to inform them. The staff called an ambulance at 6pm and staff did not call family when R1 was already at the hospital. According to S2, during this time R1 had a fever and S2 called the responsible party/POA and was advised to bring R1 to the hospital. Regarding the allegation of residents were left unsupervised, RP stated that R1 had been sitting in a soiled diaper and the padding on the bed was brown which means that it hadn’t been changed in a while, when RP went to look for staff, no one was around. According to S1, the Licensee (L1) came to the facility immediately when it was reported that there was no staff. S2 arrived 2 seconds from L1 and saw 1 caregiver. Three other Staff members, S4, S5 & S6 was at the facility at that time. During this time, S6 was on break. S5 was at the other part of the house helping another resident. page 2 of 3 Regarding the allegation of staff restricted resident from having visitors, RP stated that after the death of R1, RP tried to go back and visit another resident (R2) and the administrator wouldn’t let him/her in. RP stated that this R2s responsible party came to visit and called RP saying that R2 wanted to see him/her. Based on interviews, S1 mentioned that RP came back to the facility to visit another resident, who RP became friends with. RP was allowed to visit R2. S2 also confirmed that RP was able to visit R2 during that day. Based on records review, visitation logs show that RP was able to enter the facility and visit R2. Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copy is provided. page 3 of 3