Complaint Investigation Report

The investigation revealed the following:

Allegation - Facility failed to properly evaluate the resident. It was alleged that on November 2021, based on R1’s weaknesses, Resident #1 (R1) was enrolled in the hospice care without getting consent from POA.

At the time of this visit at 9:00 am LPA Margaryan inspected the facility, at 9:15 am LPA requested additional records, including R1’s hospice care agreement. The Administrator indicated that at the time of admission all records were signed by R1. Although, R1’s family member represented themselves as a POA, they never submitted any documents. Hospice agreement was signed by resident. A review of facility records verified the information received from the Administrator. All facility documents were signed by R1. A review of hospice records revealed that the hospice service agreement was also signed by R1 and R1’s evaluation for hospice services was completed by hospice personnel. During this investigation R1 was no longer in the facility.

Based on interviews and record review, there is no sufficient information or evidence to verify the allegation. Therefore, the allegation is unsubstantiated at this time.

Allegation - Staff failed to provide adequate food service. It was alleged that the facility failed to provide adequate food service for the residents. The food served to R1 was unhealthy as it didn’t contain any protein. During this investigation LPA inspected the facility kitchen and reviewed food supply.

On 02/14/2022 LPA observed resident eating lunch. The facility was serving sufficient quantity of well-balanced meal. Lunch consists of chicken w/fresh vegetables bread, and a beverage.

An interview of Administrator revealed that based on R1”s health condition, they required physicians approved special diet and the staff was following physician’s order. A review of R1’s records verified the information received from the Administrator.

Based on observation, interviews and record review, there is no relevant information to support the allegation. Therefore, the allegation is unsubstantiated at this time.