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32 | Allegation #1: Facility unaware of resident's condition. In regards to the allegation, it was reported resident #1 (R1) had a medical emergency and staff could not provide paramedics with any of R1's medical information when requested. LPA's interview with staff #3 (S3) present during the events in question revealed they had called the administrator Tina to inform her of R1's change in condition at around 11:00 a.m. because she was fine during breakfast at around 8:30 a.m. According S3, Tina then called R1's Hospice nurse from Miracle Healing Hospice Inc. S3 goes on to state, Hospice nurse arrived at the facility around 3:00 p.m. and takes R1's vitals. At this time R1 has a fever of 104 degrees Fahrenheit and is not eating. The Hospice nurse instructs staff to give R1 Tylenol to reduce the fever and give oxygen. Hospice nurse tells staff to continue to observe R1's condition. According to S3 they call Tina and requests permission to call 911. S3 calls 911 at around 8:00 p.m. because R1's conditioned had not improved. According to S3 they were trying to give all the information requested by the paramedics but the paramedic was not allowing staff to explain. S3 goes on to say they believe their own accent could have been an issue. On 12/28/2023 LPA asked staff two (2) out of the three (3) staff to provide residents' primary diagnoses. LPA confirmed diagnoses with residents physician's report. LPA questioned staff where they would find residents' records and Hospice records. Staff were able to show LPA where resident files are stored. Based on the information obtained, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.
Allegation #2: Facility did not seek medical attention in a timely manner. In regards to the allegation, it was reported staff did not seek adequate medical attention or timely intervention for resident #1 (R1) which resulted in deterioration of R1. According to a reliable witness, R1 arrived to the emergency room and was not responding to stimuli. As reported by S3 they contacted the administrator first who then according to S3 and confirmed by the administrator they contacted the Hospice nurse. LPA reviewed R1's Hospice records which revealed R1 had been admitted to Hospice. LPA attempted to contact Hospice agency and Hospice nurse but was unsuccessful and did not receive a returned. Upon discharge R1 would be readmitted to the facility. On 01/03/24 LPA confirmed R1 is still at the facility, a resident re-appraisal and needs and services was conducted. LPA attempted to interview R1 on 01/03/24 at 2:50 p.m. According to Rowene, R1 has been improving and is eating regularly. According to interviews facility contacted Hospice first as directed to do so before calling 911. Based on the information obtained, although allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.
Exit interview conducted. Copy of report provided. |