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32 | Regarding the allegation: Staff are not following resident's care plan. It is alleged that resident #1 (R1)’s care plan is not being followed. LPA attempted to interview R1 but due to R1’s son/Power of Attorney (POA) being in the room while the interview was being conducted and answering R1’s questions by LPA, LPA concluded their interview with R1. During LPA’s interview with R1’s son/POA, they stated several things that were under R1’s care plan. They stated that R1 has dentures that are supposed to be cleaned and put on and taken off from R1, R1 is not supposed to eat in their bed but instead transferred and moved to their recliner if R1 does not want to go to the dining hall, R1 is also on a special diet and their food is not supposed to be touching each other, R1’s food is supposed to be in separate plates, R1 is supposed to not be waken up between the hours of 6AM-9AM, R1 is not supposed to attend activities but to be returned to their room after their shower and/or after eating, R1 is supposed to be on a two (2) hour watch. During LPA’s interview with four (4) staff, it was confirmed that R1 used to eat on their own, R1 still wakes up on their own, R1 is on a regular staff watch which is several times per shift, R1 is now assisted with their new dentures, R1 is still assisted with showers, incontinence care, changing of clothes and R1 can take their own medication being assisted. The four (4) staff confirmed that R1 receives all the services in their care plan, and they try their best accommodating all of R1’s needs and of the needs R1’s son/POA wants. During LPA’s interview with one (1) staff out of four (4) they also confirmed when R1 refuses to eat in the dining hall their food is taken to their room and R1 is not paying for those extra services also they have asked R1’s son/POA to pay for a one-on-one for R1 to get additional help and R1’s son/POA has declined to pay for those services. Three (3) out of the four (4) staff have confirmed that R1 is now requiring a higher level of care based on different areas that R1 cannot do on their own anymore like showering, incontinence, moving out of bed, eating by themselves is now requiring more than one staff. During LPA’s review of R1’s file-R1 reviewed and obtained R1’s Face Sheet and Emergency Information, R1’s Service Plan, R1’s Resident Assessment, Preplacement Appraisal Information, R1’s original physician report dated 04/2019 and the new updated Medical Assessment dated 06/2026 showing R1 is now non-ambulatory and their level of care has increased from having one (1) staff assisting to having two (2) staff assists, their cognitive/alertness has also declined and their behavior has become more aggressive. Two (2) out of the four (4) staff interviewed have been hit and bitten several times by R1.
LIC 9099C-continued |