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32 | The investigation revealed the following:
Allegation: Staff mismanaged residents’ medications.
It is alleged that R1 was given medication that was not needed. Medication in question was a 1% topical lotion, R1 states that S2 was giving them the wrong medication as it should have been 5%. LPA reviewed discharge paperwork from R1’s file and medication that was prescribed by doctor was a 1% topical lotion, this error was not done due to staff changing a medication. R1 cancelled the medication, and a new order was given by doctor for the correct 5% topical lotion. Interviews with S1 and S2 revealed that staff are not able to make any adjustments to resident medications and all medications are prescribed by doctor and administered per doctor’s orders. Interview with S2 revealed that S2 followed up with a phone call to doctor as medication prescribed is usually used to treat scabies and as precaution wanted confirmation as isolation protocols would follow if this was the case, doctor stated that the medication is provided to help cure mild skin allergies/irritations and did not confirm nor deny this was caused by bed bugs. LPA interviewed 10 Residents and 8 out of 10 Residents denied the above allegation and state they are confident that the facility manages their medication correctly and they are administered their medication per doctor’s orders.
Allegation: Staff did not ensure facility was free from bed bugs.
It is alleged that R1 has bed bugs in their room. LPA toured facility, inspected R1’s bedroom along with 5 other resident bedrooms, Rooms inspected were #’s 126, 145, 171, 177, 178, 186. LPA inspected the mattresses linens and carpets in each room and did not observe bed bugs or insects in any of the bedrooms. LPA reviewed R1 medical records and observed that R1 was provided with medications to cure a skin disorder, R1 was provided with Bed Bug Information Sheets at discharge, however, the diagnosis of skin condition did not identify that it was due to bed bug bites. LPA reviewed R1’s medical records and there are records showing R1 has had minor cuts/abrasions and skin tear treatment since 2/29/2023. LPA interviewed 5 staff and 5 out of 5 staff stated that no other resident besides R1 has brought the concern of bed bugs to their attention. 5 out of 5 staff stated that although they have not seen the bed bugs R1 claims to have in their room, there have been precautionary measures taken to ensure resident does not have bed bugs. Mattress has been switched out on three different occasions in R1’s room, housekeeping cleans regularly using a steamer on resident rooms twice weekly and weekly laundry is done where sheets are washed and replaced. LPA interviewed 10 Residents and 9 out of 10 Residents stated that their rooms are cleaned daily, sheets are washed weekly and they have never had any issues with bed bugs in their rooms.
Continued on LIC 9099-C |