Complaint Investigation Report

Therefore, the Medication technician brought R1 her injection and testing equipment and R1’s spouse(R2) completed the testing and injection for R1. LPA interviewed a staff member in which they stated they have an hour window before and after medication scheduled 8 PM time. Facility was unable to provide a nurse to the facility until 10 PM. Staff member stated R1’s spouse(R2) completed the testing and insulin injection on February 20 th . Due to the information gathered, LPA finds allegation to be SUBSTANTIATED.

LPA investigated allegation, “Facility is not responding timely to resident’s needs.” LPA interviewed 4 residents and their spouses, interviewed staff, and reviewed resident documents. LPA interviewed residents in which 3 of 4 resident spouses stated they have had to provide their spouse care because staff were not responding to residents needs in a timely manner. Residents stated they have helped their spouse with continence care, and transfers to wheelchair to bed or wheelchair to toilet due to staff not responding in a timely manner. LPA interviewed staff in which they stated when caregivers call off, they do not have backup help and so they are unable to respond to call lights in a timely manner. LPA reviewed call light records and observed on March 20 th 2023 R2 waited 40 minutes for a staff response when he was in the bathroom. On March 18 th 2023 R2 waited 26 minutes for a staff response when he was in the bathroom. On March 15 th 2023, R2 waited 33 minutes for a staff response when he was in the bathroom. On March 13 th R2 waited 21 minutes for a staff response when he was in the dining room. On March 20 th 2023, R3 waited 35 minutes for a staff response.