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32 | Interview with Witness 1 (W1) stated they had not observe medications being crushed during their visits with R1 in the mornings but understood some medications administered in the evenings were crushed via their spouse.
Record review revealed a physician's order dated January 24, 2026 indicating medications may be crushed as appropriate. An updated order dated February 10, 2026 specifies four medications as "may be crushed" including Lorazepam with a start date of January 11, 2026, Acetaminophen with a start date of December 15, 2025, Midodrine with a start date of December 15, 2025, and Simethicone with a start date of December 15, 2025.
Regarding the allegation staff did not keep resident's authorized person informed about the resident's care, it was reported the staff did not inform the responsible party that apple sauce was being used to assist R1 with swallowing medications. Interviews with five out of eleven staff stated R1's responsible party brought their own apple sauce to be used to assist with administering medications for R1. Three of those five staff added R1's family was aware that apple sauce was being used to assist with administering medications. One of the remaining six staff stated R1's responsible party would assist R1 with administering medications using apple sauce. The remaining five staff did not add anything relevant to the allegation. Interview with W1 stated they did not have any concerns with staff using apple sauce to assist R1 with swallowing medications.
Regarding the allegation facility is not conducting reappraisal properly, it was reported R1 was not assessed properly using their native language. Interviews with one out of eleven staff stated they completed an assessment February 2025 with R1's family member present. The staff added they attempted to complete another assessment November of 2025 but was unable to complete because R1 chose not to participate. R1's family member was present as well. The staff member does not believe there was a language barrier with R1. One out of the remaining ten staff stated they completed an assessment December 2025 and February 2026. The staff member stated R1's English was "impeccable". One out of the remaining nine staff stated when an appraisal is completed, they provide the appraisal to management to review with resident families. One out of the remaining eight staff stated during a meeting held with R1's family after the appraisal was completed February 2026, R1's family asked for a reappraisal to be done with a translator. The staff member agreed to the request and began the search for a translator prior to R1's decline. The remaining seven staff did not add anything relevant to the allegations. Interview with W1 stated the facility staff agreed to look for a translator to do a reappraisal at the family's request during the February 2026 meeting. |