On the allegation of ‘Staff prevent resident from leaving the facility’; the complainant’s concern is that the R1 is not allowed to leave the facility. To investigate this allegation LPA Urena conducted interviews, and observation of the memory care unit. The administrator stated that R1 resides in the memory care unit, consequently R1 is limited to the supervised area of the unit throughout the day, with the exception when residents are taken to the general common areas of the facility for activities . The LPA interviewed R1’s POA, who stated that they understand the limitations of R1, and not able to leave the facility unsupervised. The POA feels comfortable that R1 is allowed to go in and out of their bedroom unsupervised within the memory care unit, as R1 is still very independent in mobility. The POA was informed by staff and has witnessed that memory care unit residents are taken on supervised walks to the facility’s courtyard. The staff interviews revealed that residents are taken on supervised walks beyond the memory care unit. The walks are usually around 10:00 a.m. to 10:30 a.m. The LPA interviewed R1 about the allegation, and R1 stated that they go out to the courtyard, dining room and social room. On the day of the interview, the LPA observed R1 independently leaving their room, and going to the common area of the memory care unit. Per the administrator, R1’s family members have taken in the past R1 for overnight stays at their house, and family members are never prevented from taking residents leaving the facility.

Based on the information gathered through interviews and observation, there is not sufficient evidence to support the allegation that staff prevent resident from leaving the facility. Therefore, this allegation is deemed Unsubstantiated at this time.

Resident is isolated in room.

On the allegation ‘Resident is isolated in room’, the complainant’s concern is that R1 is not taken out of the room for walks. To investigate this allegation LPA Urena interviewed R1, R1’s POA , staff and Administrator. The POA stated that R1 is taken on supervised walks to the courtyard, and the common areas of the facility. The Administrator stated that staff take residents on supervised walks to the courtyard, at about 10:00 a.m. to participate in daily exercises.

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Based on the information obtained through interviews, observation, and documentation, there is not sufficient evidence to support the allegation that the Resident is isolated in their room. Therefore, this allegation is deemed Unsubstantiated at this time.

Resident's personal items are not being safeguarded.

On the allegation ‘Resident's personal items are not being safeguarded’; the complainant’s concern is that R1’s personal items are taken from their room (face creams, body lotions, food, pens, soaps, vitamins, decorative pillow). To investigate the allegation, the LPA interviewed R1’s POA, and Administrator. Per the POA, they are not aware of any personal items missing from R1’s bedroom, nor they have reported to facility staff that personal items are missing. The POA stated that R1 only has clothing and a few grooming items. The Administrator stated that they have not received reports of missing items. The LPA visited R1 in their room, and the LPA noticed personal items in the closet, and grooming items in the bathroom. When the LPA interviewed R1 about the allegation, R1 could not say if any items were missing.

Based on the information obtained through interviews, and observation, there is not sufficient evidence to support the allegation that the Resident's personal items are not being safeguarded. Therefore, this allegation is deemed Unsubstantiated at this time.

Staff do not ensure that resident is hydrated.

On the allegation ‘Staff do not ensure that resident is hydrated (no water)’; the complainant’s concern is that the resident is not being offered water, and that the complainant has observed this. To investigate the allegation, the LPA interviewed R1’s POA, R1, staff, and Administrator. The POA stated that they are not aware of R1 being dehydrated. The Administrator stated that residents are offered liquids throughout the day, in addition to the liquids( water, milk, juice, coffee) offered through their daily meals, and snacks. The staff stated that they offer liquids to residents throughout the day.

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Based on the information obtained through interviews, and observation there is not sufficient evidence to support the allegation that the Staff do not ensure that resident is hydrated. Therefore, this allegation is deemed Unsubstantiated at this time.

Staff does not ensure that resident attends doctor visits.

On the allegation ‘Staff does not ensure that resident attends doctor visits’; the complainant’s concern is that the facility staff do not ensure that R1 sees their doctor to follow up on his condition (brain injury) or address their tooth pain with a dentist. To investigate the allegation the LPA interviewed R1’s POA, R1, and Administrator. R1’s POA stated that they are not aware of R1 experiencing a brain injury, or tooth pain. R1 stated that they did not have tooth ache. The LPA reviewed R1’s Physician Report dated 02/26/2021, and 04/03/2022, and the record review indicated that R1’s primary diagnosis is dementia, and other mental conditions(no brain injury was noted in the report). The facility’s protocol for dental appointments is the following: Residents inform the facility staff(med tech) if they are experiencing dental care needs. The med tech informs the administrator of the need for dental care for the resident. If the resident has a POA/responsible party, they inform the POA or responsible party to arrange for a dental appointment. If staff notices a resident in memory care unit who may require dental care, then staff informs the med tech or the administrator, who in turn contact the resident’s POA/responsible party. The facility provides transportation to dental appointments as needed, and will scheduled the dental appointment for those residents that require assistance making the dental appointments. All memory care residents going out to medical/dental appointments are chaperoned by a staff member(usually the Activities Director). Additional record review indicates that the facility’s doctor has seen R1 on a monthly basis.

Based on the information obtained through interviews, and record review, there is not sufficient evidence to support the allegation that Staff does not ensure that resident attends doctor visits. Therefore, this allegation is deemed Unsubstantiated at this time.

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On the allegation ‘Staff has not addressed a change in resident's health condition’, the complainant’s concern is that R1 developed a skin condition on their chest, and was not addressed. To investigate this allegation the LPA interviewed the Administrator, and conducted record review. The administrator stated that staff did notice the skin condition on their chest, and was addressed by the facility’s physician. Record review of a physician’s prescription indicates that the facility’s physician prescribed a topical cream(Triamcinoze 0.1% ) on 01/21/2021 to be applied daily once a day on skin rash. Cream was applied until rash cleared. Facility's Skin Integrity log indicates that skin appeared clear by 02/18/2022.

Based on the information obtained through interviews, and record review, there is not sufficient evidence to support the allegation that Staff has not addressed a change in resident's health condition. Therefore, this allegation is deemed Unsubstantiated at this time.

Resident grooming needs are not met.

On the allegation ‘Resident grooming needs are not met’; the complainant’s concern is that R1’s hair has not been cut in a very long time, and R1 resembles a homeless person, and wears non-fitting worn-out clothing. To investigate the allegation the LPA interviewed R1’s POA, Administrator, staff, and observed R1 in their room. The POA stated that on the times they have visited R1, R1 was observed clothing to fit ok (clothes are provided by the family members), and hair was clean and brushed. The Administrator stated that residents get a shower two times a week, and that haircuts used to be done by the hair stylist pre-COVID time. After COVID the family members take care of haircuts. The LPA visited R1, and observed R1 to be clean, hair length (normal), and was wearing well- fitting clothes.

Based on the information obtained through interviews, and observation, there is not sufficient evidence to support the allegation that Resident grooming needs are not met. Therefore, this allegation is deemed Unsubstantiated at this time.

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On the allegation ‘Staff yelled at resident’, the complainant’s concern is that R1 is fearful of staff because they have been observed yelling at the resident. To investigate the allegation the LPA interviewed R1’s POA, R1, and residents. The POA stated that their have observed staff to be attentive and nice to R1. The residents interviewed stated that staff are very nice. The LPA interviewed R1 in their bedroom, and R1 stated that everything is ‘pretty good and that staff are nice people, and they have not yelled at them’. The LPA observed R1 to be engaging and did not observe R1 to be fearful of staff.

Based on the information obtained through interviews, and observation, there is not sufficient evidence to support the allegation that Staff yelled at resident . Therefore, this allegation is deemed Unsubstantiated at this time.

No citations were issued. Exit interview was conducted with the administrator. A coy of the report was issued.