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32 | In addition to, following facility policy that allows an appropriate designated senior community management staff to have the ability to access medications in the event of an emergency. It was reported that R1 refused to allow facility staff to have access to their medications. It was also reported the facility requested R1 to complete a medication self-management assessment, and facility staff indicated R1 refused to complete the assessment. However, R1's Health Certification form LIC 602 indicated R1 was able to manage their medications. Staff 1 (S1) reported R1 was allowed to administer their medication due to the fact that the LIC 602 Health Certification form stated R1 was allowed to manage their medication. S1 reported R1 stored their medications at their room, and they managed the refilling of their medication. Due to the information provided, there was not a sufficient amount of evidence to prove the facility did not allow R1 to manage their own medication.
It was also learned R1 was missing bingo cards. However, R1's property inventory list did not include bingo cards. Therefore, there was not enough evidence to show the facility did not safeguard R1's property. It was learned R1 no longer resides at the facility, as a result, LPA Martinez inspected multiple resident bathrooms. LPA Martinez also, conducted six resident interviews. Six out of six residents reported their bathrooms were clean, and LPA Martinez observed restrooms to be clean. There is not a sufficient amount of evidence to prove resident bathrooms are not being cleaned. Moreover, LPA Martinez reviewed resident housekeeping records for the month of August 2023. It was learned R1's bedroom was cleaned six times for the month of August 2023. In addition, residents can request their bathroom to be cleaned at any time. Moreover, bowel and bladder accidents are cleaned up at the time of the incident.
It was learned the activities director provide hydration liquids to residents three times per day. The facility has a hydration station located at the dinning room area. Residents are able get water and ice at the hydration station. Residents can also use their call buttons to request drinks. Furthermore, the facility does not have any written record that R1 was not provided water. There is not a preponderance of evidence to prove R1 was not offered or provided water. LPA Martinez reviewed R1's August 2023 call button log. The call button logs were not complete. The call log indicates staff were responding to R1's pages. However, R1's pages were not cleared on the call button system by staff. It is unknown if the time indicated on the call log is correct. As a result, there is not enough evidence to prove that R1 was waiting for a long period of time. The facility has no documentation stating that R1 was not provided showers. S1 reported showers were being provided. S1 also reported R1's family would assist R1 with showers. Based on the interviews conducted during the investigation process, the allegation cannot be corroborated.
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