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32 | them ready for the day. LPA also reviewed Goldberg Hospice notes and observed that R1 was combative and at times and hospice staff had to request for facility staff to assist with R1's bath due to R1's combativeness and flailing of arms and legs. LPA attempted to interview R1-R4 but was not able to properly interview residents as they have a diagnosis of Major Neurocognitive Disorder. Based on interviews conducted with facility staff, R2's daughter and review of documents, there was not enough supportive evidence to concur with the reported allegation.
For the allegation, Staff inappropriately restraining resident while in care, it is alleged that facility staff used restraints on R1 without a doctor's order. Interviews with Administrator Miclat, Licensee Christina Criss revealed that restraints were not used on R1 and stated that R1 only had a doctor's order for a Lap Buddy which is used to assist R1 with posture while R1 uses wheelchair. Staff deny that any other types of restraints are ever used on R1 or any other resident and if any are used there is a doctor's order on file. During LPA's visit on 10/10/19, LPA did not observe any items that might be used as a restraint. LPA conducted a tour of R1's room and did not notice any restraint devices. LPA also observed R1 sitting on their wheelchair and LPA did observe a Lap buddy. Staff Zapanta denied that any other restraints are used on any residents at facility. Interview with R2's family member also revealed that they have not observed anything that causes any concerns and they are satisfied with the services and treatment that their loved one receives at the facility. Interview conducted with Goldberg Hospice LVN Santos revealed that the only order for R1 on file is for the Lap Buddy and also stated that R1's hospice agency services were terminated on 12/31/19 due to R1 no longer meeting criteria for continued hospice care. R1's symptoms managed with no indication of decline, no weight loss, responding well to nutritional supplements and weight gain. Discharge care plan meeting was conducted with facility staff and R1's family who all verbalized understanding. LPA attempted to interview R1 but was not successful as R1 has a diagnosis of Major Neurocognitive Disorder. Based on the investigation and supporting information obtained, this allegation is not corroborated.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Due to measures implemented due to COVID-19, exit interview was conducted with Administrator Toby Miclat via telephone. A copy of the report was sent via email for signature. A hard copy with signature is on file. |