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32 | Allegation: Licensee is not adhering to fire clearance requirements
The allegation alleges that two of the residents residing in the facility are considered bedridden.
During the facility inspection, LPA observed residents R1-R6 ambulating in the facility. LPA observed two (2) residents, who were able to sit up in bed and move to the edge of the bed to allow staff to assist with transferring to their wheelchair. Five (5) out of six (6) residents were observed using assistive devices to ambulate such as a walker or cane. One (1) resident was observed ambulating with no assistive devices.
During file record review LPA received and reviewed the facility License, effective 06/17/2003 that states the facility is licensed to serve six (6) non-ambulatory resident age 60 and above. LPA reviewed the Fire Safety Inspection Request, dated 06/21/2002, that indicates Fire Clearance Granted for the capacity of six (6) non-ambulatory residents. Additionally, LPA received and reviewed Resident R1-R6’s Physician’s Report for Residential Care Facilities for the Elderly or Medical Assessment for Residential Care Facilities for the Elderly, LPA observed three (3) residents are ambulatory and three (3) residents are non-ambulatory.
During interviews with Staff S1-S3, were asked if there are any residents who are bedridden residing in the facility, three (3) out three (3) stated there are no residents who are bedridden. One (1) staff stated there is a resident who does not always want to get out of bed, but when they do, they assist with getting from the bed to the wheelchair. Additionally, Staff S1-S3 were asked if there are any residents who require assistance with repositioning and turning in bed, three (3) out of three (3) stated no, there are no residents who require assistance with repositioning and turning in bed.
During interviews with Residents R1-R6, were asked if they require assistance with repositioning or turning in bed, six (6) out of six (6) stated they do not require assistance with turning in bed. Additionally, Residents R1-R6, were asked if they are bedridden, six (6) out of six (6) stated no, they are not bedridden. One (1) resident stated they do not always want to get out of bed, that some days the body just hurts.
During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated.
During today’s visit, LPA did not observe or cite any deficiencies.
An exit interview was conducted with Licensee/Administrator, Arlene Feliciano, and a copy of this report was provided.
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