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32 | Regarding the allegation that facility staff are not providing adequate care and supervision to resident: it was alleged that, while in the community, R1 was admitted to the hospital complaining of abdominal pain, vomiting, and stating that demons were following them and that their family was stealing money from them. It was also alleged that it is unclear if R1 has been taking their medications and following up with their doctor, the facility is not managing R1’s medications, does not have a medication list for R1, and does not know what medications R1 is on. LPA inspected R1’s room, observed the room to be clean and organized and observed no health and safety issues. LPA interviewed R1 and did not obtain information corroborating the allegation. LPA interviewed AD who stated R1 moved to the facility on March 8, 2024 and had been previously living with family, R1 had an Adult Protective Services case prior to moving in, is responsible for themselves, is independent and only needs standby assistance for showers, resides in assisted living and not the memory care unit, does not have dementia, is able to leave the facility unassisted, and handles their own medications so the facility does not have access to R1’s medications or other medical information. LPA interviewed R1’s Adult Protective Services caseworker who explained that R1’s case involved issues with their family, that R1 is independent, and that there are no concerns with the care provided by the facility. LPA reviewed R1’s Admission Agreement dated March 8, 2024 which corroborates that R1 is responsible for themselves. LPA reviewed R1’s Resident Assessment dated March 11, 2024 which corroborates that R1 is independent and only needs standby assistance for showers. LPA reviewed R1’s Physician’s Report dated March 8, 2024 which corroborates that R1 does not have dementia, is able to leave the facility unassisted, and is able to handle their own medications. Regarding the hospitalization, AD reported that on April 9, 2024, the facility was notified by a local hospital that R1 had been admitted while out in the community, was having hallucinations, and had claimed that the facility and their family were stealing money from them. AD also stated that on April 16, 2024, the facility was notified by another local hospital that R1 had been transferred there, that R1 was delusional and paranoid and was being psychiatrically evaluated and treated, and that R1 would be returned to the facility soon as they had been psychiatrically cleared as able to make their own decisions. LPA reviewed the facility’s Narrative Charting for R1 which documents this information. However, the facility’s Narrative Charting for R1 also states that on March 15, 2024, R1 went to the hospital for a reported scalp abrasion and a hip fracture, but returned the same day with a prescription for pain medication. Per interviews with AD and staff, R1 had signed themselves out that day, had been out in the community, and returned late in the night and reported they had been at the hospital for these injuries and that they had returned with pain medication.
CONTINUED |