Complaint Investigation Report

LPA reviewed medical records for Resident 1 (R1), and the records revealed R1's medical provider was updated and previously notified of R1’s change in mental condition, such that R1 was exhibiting increased wandering behavior and increased confusion with agitation. R1 did have a care plan conference held when the increase in wandering, confusion, and agitation was observed by staff.

Interview with Staff 1 (S1) revealed that there was communication between the licensee and the medical provider regarding observed changes in R1’s behavior.

Interview with Staff 2 (S2) revealed Outside source 1 (OS1) was aware of R1’s changes, and a plan was in place to move R1 into the Memory Unit because of the increase in R1’s behaviors. There were documents to support the plan of care, with the medical provider and the responsible party.

Interview with Staff 3 (S3) revealed that they were updated on R1's plan of care and provided redirection as needed during the transition to the memory unit.

This agency has investigated the complaint alleging that staff are not observing residents for changes in condition. The Department has found that 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.

An exit interview was conducted, and a copy of this report, (LIC 9058 03/22). Executive Director, Cathy Allen's signature on this form confirms receipt of these rights.