Complaint·May 25, 2023

It was alleged facility did not notify resident’s Responsible Party (RP) of an incident. It was further reported that R1’s emergency contact was not notified of a fall. Administrator indicated that resident’s emergency contacts are not notified of resident’s incidents if, they are not the residents’ responsible party, unless it is a critical medical situation where the resident is unable to make that decision. In addition, the administrator stated that in case of a serious incident, staff will assess the resident and if they are oriented and able, staff will ask the resident if they want their emergency contacts to be notified. A review of Unusual/Serious Injury Reports (SIRs) submitted to the department reflected that Resident #1s (R1) incident was reported to the licensing agency, however R1 is their own responsible party and therefore the facility did not have to notify R1’s emergency contacts . Additionally, interviews conducted with random facility residents reflected that their RPs are notified in case of emergency however, if the resident choose the RP to not be notified the facility would respect the residents wishes. LPA also conducted interview with random RPs of facility residents which reflected that they are notified of any incidents pertaining to the residents. Based on information gathered, the Department does not have sufficient evidence to determine that facility did not notify resident’s responsible party of an incident. Therefore, the above allegation is deemed UNSUBSTANTIATED at this time. It was alleged facility did not seek medical treatment for resident in a timely manner. It was further reported R1 was denied medication when they requested it and not taken to the hospital in a timely manner. Interviews conducted revealed that when residents are ill, residents are assessed by facility’s nurses and resident’s Primary Care Physician (PCP) to determine the medical treatment needed. If it is an urgent medical concern, the facility will immediately contact 9-1-1 emergency services to transport residents to the hospital. Moreover, interviews conducted reflected that R1 was diagnosed with COVID-19 and R1’s PCP was notified. Based on recommendation of the PCP, R1 was not given the medication for COVID due to possible medication contradictions with the current medication R1 was taking. Moreover, a review of R1’s medication records reflected that R1 did not have a prescription for Ibuprofen and therefore, the facility could not assist R1 with self-administration of medication. However, upon discharge from the hospital R1 received a new prescription order for the medication and therefore, was provided the medication. Based on information gathered, the Department does not have sufficient evidence to determine that Facility did not seek medical treatment for resident in a timely manner Therefore, the above allegation is deemed UNSUBSTANTIATED at this time. No citations were issued. Exit interview conducted with HOR2 Cindy Gambill. A copy of the report was provided.