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Regarding the first allegation, “Staff not providing resident medication as prescribed”, the Department found that facility staff were adhering and administering prescriptions to residents according to the amount, prescription types and dates, as prescribed by their physicians. Residents interviewed stated that they were being given their medications accurately and did not disclose any medication errors or mismanagement by facility staff. Records reviewed revealed no medication errors during the time of concern. The medications prescribed to the resident in question were administered according to the prescription dosage by two different Medication Technicians. Outside source interviews revealed no concerns or reports regarding medication errors or medication mismanagement at the facility.
Regarding the second allegation, “Licensee did not provide resident(s) safe/comfortable accommodations” due to their response to a facility flood. Outside source interviews, records review, and resident interviews showed that the first indication of a flood was on 8/25/22 at 8:00am, when a facility staff observed wet carpet outside of a resident’s room. The source of the water was found to be from a toilet that had been flushed with non-flushable items, backing up the main water line. On 8/25/22 Facility staff began relocating residents as maintenance extracted the water and sanitized the affected areas. The Administrator contacted the assigned LPA via voicemail on 8/27/22, notifying that the flood had occurred at the facility and that the affected residents were being relocated to different rooms. Outside source records and interviews as well as facility records show that a restoration company was contracted on 8/25/22 and began assessing the damage the same day. On 8/31/22 the Department conducted a Case Management visit and was informed of each area of the facility that was impacted by the flood. The facility provided a list of relocation for each resident and advised that personal belongings left in the rooms were being evaluated for damage. Residents were relocated in phases starting on 8/25/22 based on the proximity to the flood origin location. The restoration included demolition, debris clean-up, plumbing, cleaning and deodorizing carpets, baseboard replacement, drywall repair, sealing/priming walls, painting, and countertop re-installation. 15 resident rooms, 5 offices, 2 common restrooms, and 7 corridors/storage rooms sustained flood damage. The facility restoration was completed in the beginning of December 2022. Residents interviewed stated that the facility responded to the flood right away and the time in which they were relocated was appropriate and reasonable. Although the Department received slightly inconsistent information regarding dates of service, there is not sufficient evidence to support that the facility did not respond timely to ensure residents’ health and safety during the flood incident.
Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore both allegations are therefore UNSUBSTANTIATED. An exit interview was conducted with Candi Laird, Executive Director, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided. |