Complaint Investigation Report

During interview, facility Administrator stated that transportation for appointments is coordinated by the facility and/or outside providers, and that R1 has a helper who assists with transportation to appointments. Facility administrator stated that on occasion R1 may refuse services or not be ready at the scheduled time. Staff 2 confirmed that R1 has support with attending appointments and indicated that R1 is able to make her own decisions regarding attendance. R1 stated that staff assist her with getting to appointments and reported that she tries to attend appointments but at times does not go. R1 further stated that she makes her own choices regarding attending appointments. Based on record review and interviews conducted, there is insufficient evidence to support that the facility failed to ensure timely attendance at medical appointments. The evidence indicates that the facility arranged or attempted to arrange transportation consistent with the admission agreement and that R1 is independent and makes her own decisions regarding appointment attendance. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff does not communicate with resident’s medical care team. LPA conducted interviews with facility staff, the reporting party, and R1. Staff 1 stated that there was initial confusion regarding the reporting party’s role, which contributed to communication challenges. Staff 1 stated that after discussion with the reporting party, clarification was made regarding roles and communication expectations. Staff 1 further stated that staff are available to assist with coordinating medical appointments and that behavioral health services are typically contacted for coordination as appropriate. The reporting party stated that she would have preferred more consistent communication from the facility regarding R1’s appointments and requested to be notified when appointments are missed; however, did not provide evidence that the facility failed to meet R1’s medical needs. R1 stated that she receives assistance from both facility staff and the reporting party and did not report any unmet medical needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited Per Title 22 Regulations. Exit interview conducted with facility staff Maricella Botello , and a copy of this report provided.