complaint·March 22, 2022

Resident’s needs were not being met when the resident did not receive a shower. During the interview process, the administrator and six staff persons that worked with the resident were interviewed. The resident was not interviewed, as he has moved. Several documents were received and reviewed to include the Physician’s Report, Medication Records, Resident Appraisal, and Admission Agreement. It was reported that the resident at times would take a shower; however, other times he would tell the staff persons that he did not want to take a shower. It was stated that the staff persons tried to encourage and work with the resident in taking a shower; however, many times the resident would refuse. It could not be proven that the resident’s needs were not being met when the resident did not receive a shower . Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . No deficiencies cited. Staff have not met the medication training requirements. During the interview process, the administrator and six staff persons that worked with the resident were interviewed. The resident was not interviewed, as he has moved. Documents received and reviewed included training modules and transcripts of staff persons from Relias Online Training. Required Training for staff hired after 01/01/16 includes: Cultural Competency, Personal Care Services; Physical Limitations and Needs of the Elderly; Residents’ Rights; Dementia Care; Building and Fire Safety and Appropriate Response to Emergencies; Antipsychotic and Psychotropic Medications; Policies and Procedures Regarding Medications; and Postural Supports, Restricted Health Conditions and Hospice Care. It was reported and verified that staff persons are trained through Relias Online Training and then provided training by shadowing a more experienced staff person for the required 16-hour initial training. Overall, it was reported that staff persons receive training. It could not be proven that the Facility staff are not properly trained. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . No deficiencies cited. Staff did not ensure that a resident’s medication was consumed. During the interview process, the administrator and six staff persons that worked with the resident were interviewed. The resident was not interviewed, as he has moved. Several documents were received and reviewed to include the Physician’s Report, Medication Records, Resident Appraisal, and the Admission Agreement. Staff persons reported that typically staff persons would watch a resident consume their medication; however, the administrator and none of the staff persons were aware that the resident did not consume his medication when it was passed to him. It could not be proven that Staff did not ensure that a resident’s medication was consumed. Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . No deficiencies cited. Staff did not respond to resident’s call button in a timely manner. During the interview process, the administrator and six staff persons that worked with the resident were interviewed. The resident was not interviewed, as he has moved. Documents received and reviewed were the average call button times. The administrator and staff persons reported that they typically respond to call button times within 5-20 minutes. It was reported that if one of the staff persons are busy with one resident, they will radio to another staff person to assist and respond to a second resident. Staff indicated that they work well together to try and meet all resident’s needs in a timely manner. The administrator stated that the average response time is between a 5-20 minute time frame. It could not be proven that Facility staff did not respond to resident’s call button in a timely manner. Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated . No deficiencies cited.