complaint·January 9, 2025

Continued from 9099.... LPA conducted interviews with outside parties who stated that R1 appeared to be satisfied at the facility with their care. LPA asked outside parties if S1 had ever failed to allow hospice staff access to the facility and was informed no and that hospice staff had always been allowed access to their patients. LPA examined the medication records for R1 and found them to be in order. LPA was unable to examine the medications as they had been destroyed upon the passing of R1. MAR (Medication Administration Record) for R1 indicates that medications were administered as ordered. Refusals of medications are noted in the MAR. Based on LPA interviews, there was no one who was able to state any act of physical threats were made by S1. In addition, LPA was unable to locate mandated reporting records to substantiate acts of violence in violation of Title 22 Regulations. Based on the interviews conducted and the records reviewed, there was not evidence to meet the evidence standard therefore the allegation that staff are not following the resident’s care plan is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.