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32 | [Continued from LIC 9099]
The allegation regarding medication mismanagement did not specify any residents to whom it was occurring to or a timeline. Records review of multiple resident medication records over a period of 3-6 months around the complaint date did not reveal major discrepancies in medication administration, however, it was noted that occasionally when a new prescription is written for a resident, it takes 1-3 days for the medication to be physically present at the facility for residents. Staff interviewed corroborated that med-techs order medications or notify resident families if the resident is not enrolled with the facility's pharmacy. A few staff interviews also corroborated that medication delays come from those who's family manage orders. Resident interviews did not reveal any concerns about their medications, aside from one who indicated they experienced delays in medication refills. Review of that resident's medication record showed no delays by the facility, instead revealing that the resident refused medications. Outside sources interviewed revealed no concerns about medication management, and one expressed appreciation that the facility was strict about requiring prescription orders for all medication.
Regarding the allegation of improperly assessing a resident, records review of resident files were noted to include regularly updated resident assessments. LPA reviewed the assessment tool utilized for resident assessments and the point scale used for pricing. Staff interviews revealed that residents are assessed prior to move-in, 7 days after move in, 30 days after move in, and then every 6 months thereafter and/or if the resident experiences a change in condition in between those 6 months. Resident interviews revealed no concerns about the level(s) of care provided to them. Outside source interviews revealed that the facility was transparent and informative on the assessment procedures and breakdown of changing costs.
Regarding the allegation of wound care, the complaint only stated that appropriate wound care is not being provided. Staff interviews corroborated that the facility does not provide wound care as it is not a medical facility, and only basic first aid is provided and referrals to appropriate wound care providers. Resident and outside source interviews did not reveal any concerns about the facility's responsiveness to incidents or ability to provide necessary care. Records review indicated which residents received wound care and all were enrolled with appropriate outside agency care providers.
Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred – therefore the allegations have been determined to be UNSUBSTANTIATED. An exit interview was conducted with Executive Director Allen to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents. |