complaint·July 29, 2024

(continued from LIC9099) Based on interviews with staff and witnesses, R1 was provided incontinence care as needed during the day and at night R1 wore a PureWick external catheter. LPA observed R1 on 6/13/2023, R1 was resting comfortably in bed. There were no foul odors in the room. LPA also observed a clean PureWick external catheter machine at the foot of the bed which was used at night. Therefore, the allegation staff was not providing appropriate incontinence care is deemed Unsubstantiated at this time. Based on interviews with witnesses and staff, R1 took phone calls on the facility cordless phone. Staff would take the phone to R1 in their room. R1 would decide whether to use the speaker phone feature or hold the phone to their ear. R1's roommate stated they would leave R1 in the room alone while R1 was on the phone. Therefore, the allegation staff did not allow for privacy on the phone is deemed Unsubstantiated at this time. Based on interviews with witnesses and staff, when R1 first moved into the facility R1 would eat meals inconsistently. Staff tried giving R1 their favorite foods and supplements such as protein drinks. During the end, R1 completely lost their appetite and after two days of missing meals R1 was sent to the hospital. Therefore, the allegation resident was not receiving proper nutrition is deemed Unsubstantiated at this time. Based on interviews with witnesses and staff, R1 needed to see a podiatrist for issues on R1's feet. R1's POA wanted to make the arrangements for transporation themselves. The administrator offered to make transportation arrangements but the POA refused. R1 did not have any wounds but did have some trouble with their nails/toes. Eventually, R1 was taken to the hospital by ambulance. Therefore, this allegation is deemed Unsubstantiated at this time. Based on interviews with witnesses, residents, and staff, the facility offers different activities such as short walks, chair exercises, reading comprehension, and puzzles. Witnesses stated R1 did not have energy to participate in activities. R1 did have frequent visitors for personal interaction. Therefore, this allegation is deemed Unsubstantiated at this time. (continued on page 3; LIC9099C) (continued from page 2; LIC9099C) Based on interviews with witnesses and staff, the administrator contacted R1's medical Power of Attorney (POA) as R1 had not eaten in two days. The administrator asked the POA to decide whether they wanted R1 taken to the hospital or placed on hospice as the administrator was aware hospice had been part of the converstaion the POA was having with other family members. The administrator only wanted some sort of care for R1; either medical intervention or comfort care measures from hospice. The administrator did not pressure the family to place R1 on hospice. Therefore, the allegation staff pressured resident to go on hospice is deemed Unsubstantiated at this time. No deficiencies observed. Exit interview conducted and report issued.