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32 | A review of R1’s Medication Administrative Records (MAR) for December 2022 also confirmed R1 received their medication on 12/25/22 and was logged in the computer system as dispensed. R1 has one prescribed pill and a topical cream on file. R1’s interview disclosed being aware of the one medication they take daily and refusal of the cream, as it was no longer needed. R1 denied not receiving their medication on 12/25/22. Resident interviews confirmed receiving their medications on 12/25/22. The Executive Director explained some staff called out sick on Christmas day, 12/25/22. However, the shifts were covered and their Director of Resident Services, who is a nurse also came in to assist on her day off, to ensure residents received their medications. Outside source interviews confirmed residents were receiving their medications.
It was also reported, the facility did not meet R1’s incontinent needs resulting in R1 sitting in soiled briefs. R1’s Physician’s Report indicated R1 did not have bowel/bladder impairment. R1’s assessment conducted by the facility on 10/01/22 regarding incontinent care reflected R1 received toileting reminders and assistance with personal hygiene. The documented instructions outlined on the assessment was to take R1 to the bathroom every 3-4 hours while awake and take the resident to the bathroom before and after meals and at bedtime. Staff confirmed R1 was taken to the bathroom as documented on the assessment. R1’s interview confirmed staff are meeting their incontinent needs. Residents interviews also confirmed the facility staff are meeting their incontinent needs. Outside source interviews confirmed residents incontinent needs are being met.
Lastly it was alleged, the facility did not provide basic laundry services for R1. It was reported R1’s authorized representative requested all of R1’s worn items be removed daily and washed. Outside source’s interview revealed R1’s laundry was also being done by the resident’s family as there was too much laundry and the facility was not washing enough. The facility’s policy is to launder resident’s items weekly unless otherwise specified. Facility’s Assessment dated 10/01/22 indicated personal laundry will be washed three (3) times a week at an additional charge, daily bed making, daily rash removal, launder bed linens and towels once per week, and housekeeping one day per week. Staff’s role also included cleaning the resident’s room and doing their laundry, which they confirmed is being followed through. R1’s interview confirmed staff are keeping the room clean and laundry is being kept up. Resident interviews confirmed housekeeping and laundry services are being provided by the facility and there are no issues. Outside source interviews confirmed residents are receiving housekeeping and laundry service to meet the resident's needs.
During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations were deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Executive Director, Tracy Knepple whose signature below confirms receipt of these rights.
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