Interviewed staff denied the allegation and stated that R1 didn’t complains about mismanaging their medications. They stated that staff didn’t provide wrong medications and / or too many medications to R1 or other residents. Interviewed staff stated that all medications are administrated as prescribed and are noted electronically through a "Quick MAR" program. All residents’ medications are registered under the "Quick MAR" program and administered on a consistent schedule. Staff said that there are occasions in which residents refuse their medications. When residents refuse medication, staff document refusals also. LPA toured the medication room, observed medication dispensing and documentation practices. Staff demonstrated to LPA how is worked "Quick MAR" program. LPA reviewed a random sample of 5 resident medications (including R1's) and observed medications to be documented properly and given as prescribed. No concerns were observed. 13 out of 14 residents interviewed indicated that they receive their medications as prescribed and don’t have any concerns about this matter. Interviewed R1 did not answer LPA’s question about their medications and told LPA to ask staff.

Regarding allegation: Staff does not ensure resident's medical needs are being met. It was alleged that R1 has a health concerns and eye pain and has seen the doctor once in 8 months regarding health concerns. Wants to see specialist for eye examination.

Staff interviewed revealed that some residents are independent and prefer to handle their own medical appointments or get help from family members. They stated that R1 is self representative and prefer family member to schedule their appointments. However, there is an in-house doctors and specialists who visit the residents on a monthly basis and as needed and the facility provides transportation for residents who need to see doctors, specialists outside of the facility. R1 often refused to be seen by in house doctor. Interviewed staff was not aware that R1 has a pain and want to see the specialist. Interviewed Administrator stated that they will follow up with R1 and R1’s family member to schedule appointment for R1 if needed. 13 out of 14 residents indicated that there are in house doctors that came to the facility for any medical needs that they may have. Those who are independent and handle their own medical appointments stated that the facility provides them the transportation needed to visit with their doctor. R1 stated that they don’t like in house doctors and their family member is scheduling R1’s doctor’s appointments.

Continue 9099C

Interviewed staff stated that grooming is included in the services that facility provides to residents and always willing to help anyone who needs assistance. S1, S4 and S5 stated the podiatrist will schedule a visit every other month and send out flyers so that residents can sign up at the front desk if they would like the service. Facility has an in-house skin specialist that can also assist with cutting / filing residents nails / toenails. Hairdresser also come to assist with hygiene needs. Interviewed S1, S4 and S5 stated that some residents take care of their own podiatry needs. Some of residents prefer to go to nail salon to get the services. 6 of 14 residents interviewed stated they take care of cutting / trimming their hand and toenails. One resident who stated that they take care of their hand and toenails mentioned that they know that facility has a podiatrist who is coming to the facility and residents have to make an appointment to get services. 5 of 14 residents stated that they make an appointment at the front desk to see the podiatrist for their nails. 2 of 14 residents stated that they prefer to go to nail salon for nail services, and facility provide the transportation. Interviewed R1 stated that their family member is scheduling their appointments and don’t know if there is an appointment to see the doctor to cut the toenails. LPA explained R1 that there is a podiatric service at the facility and R1 has to make an appointment at the front desk. R1 stated that they don't like in house doctors / specialist.

At the time of visit LPA toured the kitchen and dining area and observed the dining area and kitchen to be clean and in good repair. Interviewed S1 – S5 denied the allegation and stated that they didn’t hear any complaints that residents see the bugs in their food. Interviews with Staff indicated that food is prepared and served in a safe and healthful manner. They stated that no residents or staff complaints about food services. They didn’t hear that Residents complains that they see bugs in their food. Interviewed S2 and S3 stated that staff clean kitchen and dining area on daily basis, 2-3 times a day. S2 stated that there is a no way it will be bugs in the residents food. Everything is fresh and stored in designated area. S3 stated that they speak with residents every day and R1 never mentioned that there was a bug in their food. Interviewed staff stated that Registered Dietitian often come to check the food, the kitchen, check the temperature and quality of food. Also, at the time of Public Health Department visit they graded “A”. (Copies of all documents were provided to LPA). Interviews with 13 Residents indicate that they are satisfied with the facility's food service and cleanliness of the dining area. Residents also stated that no bugs or insects were observed in their foods. Interviewed R1 stated that they don’t know if there is a bug in the food.

Based on interviews, record review and observation the information obtained during the investigation does not have sufficient evidence to corroborate the allegations. Although the allegations may have happened or is valid, there are not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and the copy of this report was provided to Administrator, Madeline Sievert.