complaint·July 27, 2023

Page 1 Staff do not seek timely medical care for residents in care. - UNSUBSTANTIATED It was reported that residents aren't taken to the doctors as soon as is needed. 4 of 5 staff stated that residents are taken to see their doctor right away or as soon as possible if needed. 1 staff stated they had never been in that situation and did not know. 1 staff stated the only appointments that took time to get are denture and ophthalmic appointments due to a wait list. Administrator stated It depends on the nature of the care needed. If it is urgent we have a doctor that comes to the facility. If it is critical we take them ourselves or call for medical transport.. This allegation is unsubstantiated. Staff do not provide proper medication assistance to residents in care. - UNSUBSTANTIATED It was reported that staff are asked to pre-fill medication, and staff with no training are made to pass them sometimes resulting in wrong person getting meds. 3 of 5 staff stated they had not been instructed to pre-fill medications. 1 of 5 staff stated they had been asked to pre-fill medications 24 hours in advance. 1 of 5 staff stated they did not work with medications. Administrator stated We have been continuing to do the 24-hour med poor. The only exception are hospice residents with pre-drawn and pre marked medication by their RN. This allegation is unsubstantiated. Continued on LIC9099-C Page 2 Residents are left in urine for an extended amount of time. - UNSUBSTANTIATED It was reported that there is not enough staff to cover NOC shift leaving residents in urine. 4 of 5 staff stated they had not witnessed or heard about residents being left in urine for an extended amount of time. 1 of 5 staff stated they have come in and found the residents really wet. Administrator stated Typically, we have 2 staff until 8:00 or 9:00 pm and then until 6:00 am we have one awake on duty staff and a second staff person lives 15 minutes away if needed. The overnight staff take a break onsite and the expectation is that sometime between their start and end shift there would be 30 minutes they could take a break in the general dining area. This allegation in unsubstantiated. Residents are left on the floor for an extended amount of time. - UNSUBSTANTIATED It was reported that there is not enough staff to cover NOC shift leaving residents on the floor for long periods of time. 5 of 5 staff stated they had not witnessed or heard of any residents being left on the floor for an extended period. 3 of 5 staff stated that they have to call the fire department for lift assistance if a resident falls. Administrator stated Typically, we have 2 staff until 8:00 or 9:00 pm and then until 6:00 am we have one awake on duty staff and a second staff person lives 15 minutes away if needed. The overnight staff take a break onsite and the expectation is that sometime between their start and end shift there would be 30 minutes they could take a break in the general dining area. Continued on LIC9099-C Page 3 Staff do not provide proper food service to residents in care. - UNSUBSTANTIATED It was reported that staff are told not to feed residents that need help being feed resulting In them losing weight or going hungry. 5 of 5 staff stated if a resident requires help eating they will sit with the resident, assist them with guiding their hand to their mouth to feed themselves and make sure the resident chews and swallows. 5 of 5 staff stated no residents have gone hungry or lost weight due to not being able to feed themselves. Administrator stated Everything is dependent on the resident’s care plan, all staff are aware. If we have a resident that is having trouble chewing we have a staff member that sits with them while they are eating. They help the residents arm, if it is a problem chewing and swallowing they are trained to encourage the resident to take small bites and make sure they swallow before taking another bite. We had to cut back on snacks in order to keep the residents under a healthy weight. Snacks are available all throughout the day. We do have resident that lost weight because of other conditions or they are on hospice and pain meds suppress their appetite. This allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to administrator James Bird.