Complaint Investigation Report

On today's visit, LPA Yee conducted additional interviews with the Administrator at 11:14am , interviewed Staff #1 at 1:13pm and reviewed facility files beginning at 11:58am - 12:43pm. Resident #1, who lived a very short time at the home could not be interviewed since the resident had been relocated to another home and then to a skilled nursing facility. The relocation site is unknown

Per the investigation, the following is the information received for each allegation:

Allegation #1: Resident is left soiled while in care - Per interviews conducted with the Administrator, staff and witnesses - Resident #1 was never left in soiled diaper. Residents are checked every 2 hours and they are also able to let the staff know when changing is needed. Residents are also asked if they want to bathe daily and encouraged to bathe a minimum of 1 to 2 times a week. During the short stay at the home, Witness #1, who provided health services to Resident #1 was interviewed and there no concerns expressed or any neglect was observed with the resident's care

Allegation #2: Resident is not receiving medication as prescribed. Per review of the facility files, Resident #1 was given medications that came with the resident at the time of discharge from skilled nursing and documented on a Medication Administration Record. Medications that were added after admissions - Plavix and Pentroprazole were also documented as dispensed. Pain medication was not listed on the discharge paperwork. Since Resident #1 no longer resides at the home, it is unknown which medication(s) were not dispensed as prescribed. Per Witness #1, the medication list looked correct.

Allegation #3: Staff are not providing appropriate care and supervision to a resident while in care. The facility has a Hoyer lift to transfer the resident to a wheelchair if Resident #1 wanted to get up. Resident #1 was helped getting to the bathroom and into the wheelchair when asked. Staff did not ignore the resident. Resident #1 preferred to remain in bed.