complaint·May 12, 2021

Complaint alleges staff spoke inappropriately towards resident. Based on interviews with staff and residents LPA received statements and information that were contradicting to the Complainant's allegation. LPA was unable to find witnesses or evidence that supported inappropriate verbal actions from staff. Complaint alleges facility failed to notify the responsible party and Dr. of an observed change of condition. Upon review of R1's care notes, R1's incidents and changes of condition were recorded and notified to R1's family. Upon review of R1's weight records from 2018-2020 staff documented R1's weight every other month. Staff protocol is to notify a resident's family and doctor if there is a weight change between 5-10lbs. Records indicate that R1 was not weighed from June 2020 to August 2020 due to refusal. However, the recorded weights for R1 from 2018-2020 do not indicate any significant change requiring notification to family and doctor. Complaint alleges facility failed to ensure residents dietary needs were being met. Based on interviews with staff and residents it was found that the facility offers residents 3 meals a day with options for snacks in between meals. Based on interviews with residents and staff LPA found that two options are provided per meal with additional alternate options of sandwiches, soup and salad. Based on interviews with staff LPA found that R1 did not require any special diet but would skip 1 of 3 meals per day. In addition R1 was provided with food from family and meals from the facility directly to R1's room. Complaint alleges that staff are falsifying residents chart. Based on a review of R1's care plan and Physician's Report, LPA learned that R1's Physician's Report was completed and signed by R1's Physician and not the facility staff. Based on interviews with staff and Administrator LPA was informed that staff only input diagnosis information received from R1's Physician. LPA was unable to find supporting evidence of staff altering or falsifying R1's charts. A finding that the complaint allegations facility staff failed to provide adequate supervision resulting in resident sustaining injury from a fall, staff spoke inappropriately towards resident, facility failed to notify the responsible party and Dr. of an observed change of condition, facility failed to ensure residents dietary needs were being met and staff are falsifying residents chart are unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited during the visit. Signatures on file and Appeal Rights given.