Complaint Investigation Report

Regarding the allegation: Staff are not meeting resident's care needs. It is being alleged that staff are not providing adequate care and supervision to resident #1(R1). During LPA's record review of R1's medical records, It was revealed that R1 was severely dehydrated and had high levels of sodium resulting in hypernatremia. R1's sodium level was 176. Let it be noted, a normal sodium intake is between 136-145. LPA interviewed two (2) staff that confirmed that R1 was on Hospice. During LPA's record review of Hospice notes it showed that Hospice was at the facility every 14 (fourteen) days. LPA also interviewed Hospice Representative that stated R1 was not eating at the time of their last visit with them. During LPA's file review of R1 from the facility, it was observed that R1's last resident appraisal was completed on 11/30/2023. Based on the record reviews and staff/hospice interviews, it is being determined that the facility did not meet the resident's care needs therefore,the allegation(s) is SUBSTANTIATED at this time.

A Civil Penalty of $1000.00 is being issued today, due to this being a repeat violation. Refer to LIC 421M.

Exit interview conducted, appeal rights discussed, and a copy of the report was given to the Resident Care Director.