Complaint Investigation Report

Allegation: "Facility caused injury to resident." Based on record review and interviews conducted the findings indicate that former resident (R1) had pre-existing Glaucoma disease prior to moving in to the facility on 7/21/2017. Resident (R1) was admitted to the facility with Glaucoma medications [Brimonidine Tartrate Solution, Dorzolamide HCI solution, Theratears Solutions, and Latanoprost Solution. Per Physician's Reports the resident was not diagnosed with Dementia and was not taking anti-psychotic medications during the time it resided at the facility. Resident (R1) had various health issues that were managed with medications ordered by Physician; which were administered as directed. No major combative behaviors by resident (R1) or administration of behavioral medications were reported by staff. Staff denied over-medicating R1.

Staff interviews revealed that resident (R1) was ambulatory and did not appear to have major eye disease issues while it lived at the facility. Staff stated that resident (R1's) daughter/Power of Attorney [POA] took the resident to medical appointments. The resident was discharged from the facility on 8/1/2020, and went to live at another Assisted Living facility closer to family. All staff interviewed denied causing injury to resident (R1) or over-medicating resident (R1). Six (6) out of six (6) residents interviewed denied that facility staff have caused any injuries to residents.

Resident (R1's) Power of Attorney was interviewed and denied the allegation by confirming that R1 had Glaucoma eye disease prior to moving into the facility, and went blind on the left eye because at the beginning of the COVID-19 Pandemic R1 was scheduled to receive laser eye surgery at the Veteran's Affairs Hospital, but due to COVID-19 health setting guidelines the resident's surgery got cancelled, and caused the resident to lose sight in the left eye. Therefore, the facility is not at fault. Record review did not corroborate neglect of care, or injury to resident (R1) during the length of time it resided at the facility.

Based on interviews conducted, records reviewed, and LPA observations there is insufficient information to support the allegation. 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.

Exit interview conducted with Administrator Tyler Cheney. A copy of the report was provided.