Complaint·March 24, 2022

During interview with facility administrator and review of staffing roster, LPA determined that staff members of relevant interest to the complaint no longer work at the facility, and thus could not be interviewed. In doctor's notes received by the department, R1 had developed a mole while in the care of the facility which was diagnosed as squamous cell carcinoma. Review of facility progress notes do not indicate that the facility had detected R1's cancerous mole. In review of R1's resident service plan dated 04/19/2019, it was indicated that the facility would conduct daily skin checks to monitor for potential re-emergence of skin cancer. In review of licensed nurse evaluation, R1 was indicated as having unexpected weight loss on 12/19/2019, R1's progress notes do not indicate that R1's responsible person was informed of weight loss, nor do they indicate detection of squamous cell carcinoma. R1's responsible person stated in an interview that they were never informed about R1's weight loss and that facility staff did not discover squamous cell carcinoma. Further review of progress notes do not indicate the discovery or monitoring of ingrown toe nail/infection observed and photographed by family. Review of R1's care plan indicates that the facility had agreed to provide assistance in incidental health and medical care, which would include assistance with overgrown/ingrown toe nails and toe nail infections. Review of resident medical records indicate that R1's doctor prescribed daily exercise including walks for R1. Review of the resident's care plan and progress notes did not reflect updated prescription for resident exercise. The Department has conducted an investigation of the above allegations. Based on records reviewed, the preponderance of evidence standard has been met. Therefore, the Department found the above allegations to be SUBSTANTIATED. Deficiencies are being cited. See LIC 9099-D. Exit interview conducted with Administrator Steven Silacci. A copy of this report, along with the facility's appeals rights were provided. During inspections conducted by the Department ranging from the dates 08/24/2020 to 08/03/2021, Licensing Program Analysts Ryker Heberle and Eric Ng (LPAs), did not observe any mold to be present inside resident rooms, bathrooms, or in the common areas of the facility. The facility was observed to be clean and well maintained. This Department has investigated the above allegation, and based on records review and observation the Department has determined that the allegation was Unsubstantiated, meaning 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. Exit interview conducted. This report was reviewed with Executive Director Steven Silacci and a copy was provided.