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32 | The investigation revealed the following:
Allegation: Staff did not address a change in resident's health condition
It is alleged that staff did not address R1’s health because the resident’s conservator refused treatment. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation and stated that they do not refuse residents at the facility treatment when needed, additionally staff stated that R1’s conservator has never instructed staff to refuse treatment for R1. LPA reviewed Assisted Living Waiver assessment for R1 dated 12/2024 and there were no notations or observations made stating that R1 had a change of condition, these assessments are done every 6 months and this assessment was the most recent. LPA reviewed hospital discharge paperwork dated 3/16/24 and resident was sent back to facility with no new medications or orders. LPA reviewed R1’s charting notes and there weren’t any notes indicating resident had a change of condition (notes of hospitalization was listed on charting notes).
Allegation: Staff did not address resident's scabies infection
It is alleged that staff did not seek treatment for R1 as the resident’s conservator refused treatment. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation, each stated that there had not been any residents with scabies and R1 did not have any questionable skin marks to assume R1 had scabies. LPA reviewed R1’s file and there was nothing documented within file that stated resident had scabies.
Allegation: Staff chemically restrained resident
It is alleged that staff were over-medicating R1 leaving resident drowsy and sleepy. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation and stated that R1 had very little medications prescribed and MedTech’s administered medication to R1 per the doctors order. S1 and S2 stated that medication that R1 would take did have side effects that would make the resident sleepy therefore these medications were given to resident at bedtime. LPA reviewed R1’s medication list and observed 2 medications that were prescribed by physicians, side effects listed did include drowsiness.
There were no resident interviews done during visit as facility is closing and all residents have been transferred to different facilities, additionally, R1 was not available for interview.
Based on statements and interviews conducted, review of resident file and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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. Exit interview held, and a copy of this report was provided. |