complaint·May 23, 2024

Continued from LIC9099... R1’s physician report dated 8/14/2023 revealed that they have a primary diagnosis of delusional cognitive disorder, which it was confirmed with R1’s discharge documents provided that do not indicate any skin condition when assessment was performed during R1’s hospitalization. During LPA’s visit to the facility on 5/2/24, LPA toured the facility, it was observed that R1’s bedroom is located at section A and R2’s bedroom is located at section B of the facility far away from each other. Also, R1 was observed very agitated and actively refusing paramedics and police officer transportation to the hospital after removing their foley catheter out. Based on interviews conducted with facility staff (S1, S2, S3, S4 and S5) and residents in care (R1, R2 and R3), statements indicated that there had been incidents of resident-on-resident aggression unrelated to R1, where the facility’s procedure is to reach out to their physicians to review and adjust medications if needed. Although, there had been incidents of resident-on-resident aggressions, it appears like the facility has followed their program plan by addressing the issues with resident’s responsible parties. A finding that the complaint allegation of personal rights is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.