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32 | and 1:15 pm, LPA Montoya conducted interviews with three out of twenty-three staff (S1-S3). On 12/29/2022 from 9:40 am – 11:55 am, LPA interviewed eight out of seventy-one residents (R2-R9). R1 was in the hospital and not available for interview. Based on interviews conducted, eight out of eight residents (R2-R9) and three out of three staff (S1-S3) denied that facility staff did not meet resident's hygiene needs. Three staff (S1-S3) revealed staff are consistent with their hygiene assistance to R1 but sometimes R1 refuses the assistance. Based on records review, physician’s report shows R1 needs assistance with bathing, but is capable of dressing ,toileting and grooming himself . LPA did not observe R1 in the facility. LPA did not observe any residents with bad hygiene. Based on information gathered, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated
Allegation: Facility staff did not note a change in resident's condition.
It is alleged that facility staff did not note a change in resident's condition. On On 12/28/2022 between 11:55 am and 1:15 pm, LPA Montoya conducted interviews with three out of twenty-three staff (S1-S3). On 12/29/2022 from 9:40 am – 11:55 am, LPA interviewed eight out of seventy-one residents (R2-R9). R1 was in the hospital and not available for interview. Based on interviews conducted, eight out of eight residents (R2-R9) and three out of three staff (S1-S3) denied that facility staff did not note a change in resident's condition. Based on records review, R1 had a change of medical condition determined by a medical practitioner on 10/7/2022 and 12/20/2022 which was noted and R1 was sent to hospital which was noted. LPA did not observe any complaints during the visit that staff failed to note a change in resident’s condition. Based on information gathered,LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated
Allegation: Facility staff did not seek resident timely medical attention.
It is alleged that facility staff did not seek resident timely medical attention. On 12/28/2022 between 11:55 am and 1:15 pm, LPA Montoya conducted interviews with three out of twenty-three staff (S1-S3). On 12/29/2022 from 9:40 am – 11:55 am, LPA interviewed eight out of seventy-one residents (R2-R9). R1 was in the hospital and not available for interview. Based on interviews conducted, eight out of eight residents (R2-R9) and three out of three staff (S1-S3) denied that facility staff did not seek resident timely medical attention. Three staff (S1-S3) stated on 12/20/2022 around 12:40 AM, staff observed that R1 was not feeling well and looked pale. The administrator immediately called 911. Based on records review, paramedic came at 12:46 am which is noted. Based on information gathered, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated
Allegation: Facility staff did not ensure that resident was free from bed bugs.
It is alleged that facility staff did not ensure that resident was free from bed bugs. On 12/28/2022 between 11:55 am and 1:15 pm, LPA Montoya conducted interviews with three out of twenty-three staff (S1-S3). On 12/29/2022 from 9:40 am – 11:55 am, LPA interviewed eight out of seventy-one residents (R2-R9). R1 was in the hospital and not available for interview. Based on interviews conducted, three out of eight residents and three out of three staff revealed there were bed bugs in the past. A pest control company provides an ongoing pest control treatment to the facility. Six out of eight residents denied that facility staff did not ensure that resident was free from bed bugs. Based on records review, a record of pest control services are conducted 2 times a month by Environworx Pest Control and more if needed LPA did not observe bed bugs in the facility. Based on information gathered, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated
Allegation: Facility staff neglect resulted in resident sustaining a pressure injury.
It is alleged that facility staff neglect resulted in resident sustaining a stage 1 pressure injury. On 12/28/2022 between 11:55 am and 1:15 pm, LPA Montoya conducted interviews with three out of twenty-three staff (S1-S3). On 12/29/2022 from 9:40 am – 11:55 am, LPA interviewed eight out of seventy-one residents (R2-R9). R1 was in the hospital and not available for interview. Based on interviews conducted, eight out of eight residents (R2-R9) and three out of three staff (S1-S3) denied that facility staff neglect resulted in resident sustaining a pressure injury. Based on records review, R1 received Home health care from 10/15/22 to 12/13/2022 after which he was able to return to his previous level of functioning . LPA did not observe R1 in the facility. Based on information gathered, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated
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