Complaint Investigation Report

Interview with the administrator revealed R1 was hospitalized on 07/26/24 due to excessive eating and drinking. R1 constantly requested food and water, and the facility provided them. R1 returned from the hospital on 08/04/24 with a catheter. The facility did not obtain any discharge paperwork from the hospital. Record review revealed R1 was diagnosed with bipolar disorder, schizoaffective disorder, hypertension, and diabetes type II. The preplacement appraisal noted R1 needed help with medication. R1’s needs and service plan was blank. No care plan to address R1’s care needs were observed. Interview with S2 revealed R1 ran out of all medications two (02) days ago and the facility has not provided medication assistance since then. Review of medications revealed R1’s bottle of Metformin was filled on 06/04/24 with sixty (60) doses and was empty. S2 stated the facility was instructed by V1 not to give R1 any more medications, so the facility did not assist with medications since R1 returned form the hospital. Based on interviews, medication review, and record review, the facility did not follow a care plan to address R1’s needs. The facility also did not sufficiently assist with R1’s medications. Therefore, the allegation is deemed SUBSTANTIATED at this time. This deficiency is cited on the corresponding LIC 809-D page.

Exit interview conducted. Appeal rights discussed. Copy of report provided.