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32 | (Continued from LIC9099 2 of 3)
It was alleged that staff sexually abused Resident 1 (R1). Review of R1’s medical assessment and appraisal documents dated July 22, 2022, revealed R1 has a history of forgetting words, disorientation, confusion, hallucinations, and nightmares. R1 can fluctuate from being non-verbal and non-ambulatory to verbal and ambulatory. There are days when R1 can communicate their needs and days when they cannot.
Interviews with staff, outside sources and review of admission records revealed R1 was admitted to the facility on August 6, 2022, and occupied a single room at the memory care portion of the facility. Interviews with staff revealed R1 was mostly non-verbal, non-ambulatory, with hallucinations and confusion. The staff stated that R1 has not stated that anyone sexually assaulted them. Review of progress notes and interviews with staff and outside sources denied having reports from R1 regarding abuse. Interviews with staff, outside sources, and review documents received by the Department from the facility on 10/25/2022 revealed that R1 reported to Outside source 1 (OS1) that they were sexually abused by a staff member in the shower. R1 was not able to recall the dates or times the incident happened. OS1 reported the incident to the facility staff. The facility staff completed a body check, and there were no signs of abuse. R1 did not repeat the alleged occurrence when asked by outside sources or staff. Review of documents received by the Department revealed that facility management followed reporting requirements and submitted an incident report and report of suspected elder abuse to the Department on October 26, 2022, as well as notified R1’s responsible parties.
It was alleged that staff are mismanaging the residents' medication. Review of records revealed that there has not been any medication mismanagement. Staff interviewed and there has not been any medication mismanagement. Outside source 1 (OS1) stated that there have not been any medication mismanagement.
It was alleged that R1’s bed did have a mattress cover. LPA observed five (5) bedrooms, including R1’s bedroom. All five beds contained a mattress cover. All five (5) bedrooms have the appropriate bedding, lighting, closet space, and blankets. The rooms were not cluttered, and there were no foul odors.
It was alleged that R1’s bed did have complete sheets. LPA observed five (5) bedrooms, including R1’s bedroom. All five beds contained complete sheets. All five (5) bedrooms have the appropriate bedding, lighting, closet space, and blankets. The rooms were not cluttered, and there were no foul odors.
Lastly, it was alleged that the licensee is not meeting R3’s dietary needs as they require chopped food, and they are a vegetarian. Interviews with residents revealed that if they need a special diet, the facility will accommodate their needs or special requests. Interview with staff established that R1 was provided with their specific dietary needs. An interview with an outside source established that there have been no issues |