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32 | LPA reviewed multiple residents files. LPA observed the facility faxed the doctor in regards to Resident 1 (R1)’s weight loss and weight gain. LPA observed the facility faxed R1’s doctor on 10/4/23 requesting home health be ordered due to a right hand contracture. The doctor asked for more information so another fax was sent 10/5/23 stating R1 has contracture to the right hand and was seen by home health, a splint was ordered and R1 was wearing it but now the hand is back to where it started 6 months ago because the brace was not being used, so the facility is requesting Physical Therapy (PT)/Occupational Therapy (OT). LPA interviewed staff about R1’s PT/OT for their hands and the brace. Interviews revealed the brace was not used and discontinued due to the resident constantly being in pain and there being a moisture problem. Staff stated there is now a softer device placed in R1's hand and staff state they constantly check it and ensure it's being used.
On 1/29/24 LPA Olson observed resident fingernails in Neighborhood 3. LPA observed multiple residents who had fingernails that appeared long, and some that were jagged and could pose a potential danger if used to scratch. LPA spoke with LVN about the policy for nail care. LVN stated the facility has a Podiatrist who sees residents monthly to care for their toenails. The LVN tries to trim residents fingernails when they do rounds and observe they need trimming, but there is no set schedule to trim the nails. LPA showed LVN pictures of 3 residents nails that needed trimming. LVN said they would go and trim those nails.
On 2/8/24 LPA observed R1's scalp to be flaky and green/yellow scabs on R1’s scalp. Records reviewed indicated the facility regularly contacted R1’s doctor regarding the skin condition, and an ointment and shampoo was prescribed by the doctor. Records and interviews indicate staff used the ointment as prescribed and R1’s condition occasionally flares up but facility is managing it as best they can with prescription shampoo and PRNs ordered by R1's doctor.
LPA attempted to interview residents about their medical care but they were unable to respond to LPA’s questions. Interviews with staff revealed residents medical needs are always reported timely to the medtech or LVN.
Based on the information obtained, the allegation is deemed Unsubstantiated at this time.
Exit interview conducted, copy of report issued. |