complaint·August 25, 2025

Per review of records, interviews conducted, progress notes and medical documentation reviewed, caregivers and medication- technician staff, addressed resident incidents of R1 as needed, assisting with toileting/incontinent needs, providing needed care, per care plan, and contacting 911 when needed, per review of records. Resident R1 went out 911 on 7/24/25 due to weakness, and pain; and R1 returned to the facility on 7/28/25. Facility staff called 911 for R1 on 7/31/25 due to continued decline with pain and weakness, per file reviews and interviews. R1 returned on 8/22/25 on hospice care services. Investigation revealed R2 is able to communicate needs to staff, per medical assessment. Per file review of records and interviews, resident R2 has prescribed pain medications for chronic pain/health diagnosis; The pain medications are to be provided to the resident as ordered, some pain medications are daily dosed/regularly provided specific times, and others are provided as needed. Per review of medication records, and resident progress notes, R2's pain medications are provided to R2 as prescribed. R2 receives incontinent care per review of records. R2 went out 911 on 8/22/25 due to complaints of pain, and difficulty breathing. Staff caregiver/medication- technician observed the need for the resident to be assessed by a medical professional, 911 was called and emergency response transferred resident to the ER. Per interviews, R2 receives assistance with medications when requested by the resident, and as ordered by the Physician. Per interviews, R2 receives needed care and assistance, per care plan, needs, and observations. The investigation revealed that there was differing information obtained from information provided to the Department regarding the allegations. There was no information obtained that supported the violations had occurred. Based on LPAs observations, record reviews, interviews with staff, and information obtained from other related party(s) there is insufficient information to prove or disprove the allegation of "staff did not provide toileting needs to resident, staff did not address residents' change in condition, and staff did not seek needed medical attention for residents ". Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. No deficiencies cited. Exit interview conducted with Kelly Ording, Administrator.