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32 | Continued from 9099
However, Resident #2 (R2) who was admitted on 11/18/2022, did require help transferring in and out of their wheelchair when they first arrived, but as R2 got closer to discharge on 09/29/2023, they needed less assistance and no longer required two staff members to help. LPA's interviews with five (5) staff members, revealed that there has always been enough staff available on every shift to assist clients who needed two person help. LPA’s interview with four (4) families / responsible parties of residents in care at the time of the complaint revealed all (4) have not observed insufficient staffing and each did not express any concerns for lack of staffing at this time. Interviews and records review of staff schedule revealed there are two (2) caregivers scheduled during NOC shift and there are at least three (3) caregivers during the AM and PM shift. Also present in the home is the Administrator and nurse during the morning and afternoon shifts Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Residents are transferred without the required amount of staff necessary to assist” is deemed Unsubstantiated at this time.
It was reported that "Staff are not adequately trained", as it was alleged that staff are required to feed R2 without the adequate training. Interviews and records review revealed all staff must participate in G-Tube Training. There at least three (3) full trainings before handling any residents with a g-tube, which includes a verbal instructive training, a hands on training, a practice training, then they begin to service the resident while staff standby and observe. The entire training encompasses the following: check G-Tube Orders, Gathers equipment (Feeding, syringe, or gravity bag, water (if prescribed), gloves, washes hands and puts on gloves, positions client comfortably and as prescribed, Remove G-tube cap and insert syringe, un-clamp tubing (if applicable), check residual and hold feeding (if applicable) according to physicians orders. Pour feeding syringe and allow to flow, or if button-insert extension tube, turn to lock into place, insert syringe, un-clamp and pour feeding into syringe, allow to flow. Continue to pour feeding into syringe until feeding completed, raise or lower syringe to adjust flow as needed, when feeding complete, pour prescribed amount of water (if applicable), clamp tubing, remove syringe, & re-clamp g-tube, if button clamp extension, turn to unlock, remove syringe and extension, replace clamp, remove gloves and wash hands, wash out syringe, allow to dry and put with other equipment for next feeding, and document feeding preformed and tolerated. LPA's records review of five (5) randomly selected staff files revealed G-Tube training. |