Complaint Investigation Report

3. LPA interviewed resident in question. Resident stated they do not want to socialize with anyone and is content in their room. LPA interviewed responsible party and the two witnesses and all stated the resident has told them the resident does not wish to visit with the other people living in the facility and is content in their room.

4. LPA interviewed the witnesses. The note was not on the door when LPA visited on 09/14/2023. LPA was informed by one witness that it did not have any confidential information. It just stated to not wake up the resident if the resident was sleeping when visitors showed up because the resident does not want to be woken up and instructions for what to do if someone insisted on visiting against the resident's wishes. Responsible party stated the resident has always slept at random times and has never liked to have their sleep interrupted for a long as they have known each other.

5. LPA reviewed medication orders and conducted interviews. There are orders to crush the medications and to put it on food. Caregiver stated the medications are put on foods the resident likes to eat to try to ensure the resident will take it, but the resident refuses to take medications a lot. LPA confirmed that with the responsible party. Resident stated they do not get tricked into taking medications. Witness stated the resident refuses to take medications at times. The responsible party told LPA the resident has take naps at random times for as long as they have known each other and the resident is not over-medicated.

6. LPA interviewed Licensee. Licensee stated when the resident was admitted to hospice the hospice agency ordered a bed that did not originally fit the resident and so the agency had to order a new one. The resident was in the original hospice bed until a new one arrived that better fit the resident. This was confirmed by the responsible party.

7. All witnesses interviewed stated nothing blocked the bed the resident is in. They stated there were two beds in the room for a short time but the second bed was pushed up against the far wall and there was a lot of space between the beds. The witnesses stated they have not seen anything blocking any exits to the outside or anything blocking beds. LPA toured the facility on 09/14/2023, and did not see any fire hazards.