complaint·March 30, 2023

(continued from 9099) stay R1 returned with neck pain and R1’s wandering increased. They were working with R1’s physician to address R1’s wandering at night but the medications had not helped. Staff also stated R1’s incontinence care needs had increased. R1 required constant supervision due to the wandering. LPA reviewed R1’s records to review the Appraisal/Needs and Services Plan which outlined these increases in care needs, however the licensee did not complete an updated services plan or set a meeting with R1’s responsible party (RP) to go over the increased care needs. The lack of an updated Appraisal/Needs and Services Plan has been addressed in a Case Management – Deficiencies report dated 3/30/2023. Based on interviews with staff and a witness, R1 did have a noted increase in wandering and incontinence care needs, therefore the allegation the facility misrepresented an increase in R1’s care needs is deemed Unsubstantiated at this time. Regarding the allegation the facility failed to provide comfortable accommodations and furnishings, the complaint specifically stated R1’s recliner was given to a new resident. Staff indicated the recliner did not belong to R1, it is a recliner in the living room for all residents. Prior to the new resident moving in, R1 did use the recliner. However, a witness indicated they would see R1 mostly wandering around the facility. Staff indicated R1 would sit in the recliner but then get right up to wander around. When the new resident was admitted, they placed the resident in the recliner when that resident wanted to be in the living room. The witness also stated they would see R1 on the couch or the occasional chair sitting next to the couch or standing by the kitchen if staff were preparing meals. Based on interviews with staff and a witness, R1 had options for seating in the living room but frequently chose to get up and walk around the facility. The recliner in the living room is for the use of all residents and there are other seating options. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted and report issued to administrator via email.