complaint·February 4, 2025

(continued from LIC9099) Allegation: Facility does not have adequate staff to meet resident needs. LPA interviewed two staff. Both staff work from morning to evening, usually Monday through Friday. Both of these staff sleep at the facility. During the evening and night shift, the licensee's husband works at the facility. If he needs assistance he can call for staff who are upstairs. There is another staff who also works at the facility when the primary staff are off. The licensee also works at the facility as a caregiver as needed. Staff feel their schedules are sufficient to meet the needs of the residents. The residents interviewed stated the staff are helpful and they do not have to wait for care when they need assistance. The facility's personnel report reflects sufficient staffing as well. Based on the information obtained through the interviews, observation and record review, the facility has adequate staff to meet the needs of the residents in care. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Residents are not provided proper food service. LPA reviewed the sample menu, interviewed staff, residents, and conducted an inspection of the food supply. There was a sufficient amount of perishable and non-perishable food for balanced meals. There are a couple residents at the facility who are sensitive to vegetables and they avoid giving these residents certain vegetables, particularly at dinner time. The residents stated the like the food and get plenty of food at meals. Snacks are also offered. Based on the information obtained through observation, and interviews, the LPA observed that residents received a variety of meals and residents are happy with the meals they receive. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Staff insert suppositories to residents in care without proper authorization. LPA interviewed two staff regarding suppositories. None of the residents currently at the facility have prescriptions for suppositories. Some residents are prescribed a laxative. Both staff stated they have never inserted a suppository; that is something hospice or home health staff do for residents if necessary. Staff understand they are not allowed to insert suppositories and if residents have severe, concerning constipation they will send the resident to the hospital or they notify hospice if the resident is on hospice. LPA interviewed one resident but they do not use suppositories. Based on the information obtained through observation and interviews, staff do not insert suppositories. Therefore, the allegation is deemed Unsubstantiated at this time. (continued from LIC9099C, page 2) Allegation: Staff hit residents in care. LPA interviewed administrator, two staff, and two residents. Staff and administrator denied any staff ever hitting residents nor have they received any complaints regarding such abuse. Residents also denied being treated poorly or being struck by staff. Residents stated staff treat them very well and are always nice. Based on the information obtained through interviews, the residents did not have any concerns about the care being provide by staff and stated that they were not aware of any staff hitting residents in care. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Staff gave medication to resident in care without a doctor's order. LPA interviewed the staff and the administrator and reviewed medications. Based on a medication review of two randomly chosen residents' medications, it appears medications are being given as prescribed and properly documented. Per the Administrator and staff interviews, when residents pass away, the hospice nurse takes possession of the medications at the facility and takes the medication away to be destroyed. Based on the information obtained through interviews and record review, the allegation is deemed Unsubstantiated at this time. No deficiencies observed. Exit interview conducted and report issued.