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32 | Interviews of staff 1 – 4 (S1, S2, S3, and S4) on 11/02/20222, all stated that no resident has ever been tied to a bed, all residents get changed for incontinence as needed, and no medication errors have been made in 2022 that any staff is aware. LPA observations on 11/02/2022 indicated a clean facility with standard medication administration procedures with no issues. At this time there is not enough evidence to support the allegation of, “Facility staff tied resident to bed overnight” and is unsubstantiated at this time.
As to the allegation of, “Facility staff leave residents in wet clothes and linens overnight.” It was alleged that staff leave residents in wet clothes and linens overnight. It was discovered through interviews of Residents on 11/02/2022 that Residents 1 through 5 (R1, R2, R3, R4, and R5) all denied being left in wet linins or clothes or any incontinence issues in this facility, or ever have been tied up at any time during their stay at this facility, all residents stated feeling safe in this facility and had no issues with medication, staff care, or facility cleanliness, or with the care provided of this facility. Interviews of staff 1 – 4 (S1, S2, S3, and S4) on 11/02/20222, all stated that no resident has ever been tied to a bed, all residents get changed for incontinence as needed, and no medication errors have been made in 2022 that any staff is aware. LPA observations on 11/02/2022 indicated a clean facility with standard medication administration procedures with no issues. At this time there is not enough evidence to support the allegation of, “Facility staff leave residents in wet clothes and linens overnight” and is unsubstantiated at this time.
As to the allegation of, “Facility staff dispense the wrong medications to residents.” and “Facility staff are not following reporting requirements.” It was alleged that the facility dispensed the wrong medications and failed to report dispensing the wrong medications. It was discovered through interviews, documentation and LPA medication audit that on 11/02/2022 S1 -S4 had no recollection of wrong medication being dispensed at the facility. Interviews of R1-R5 on 11/02/2022 all denied being dispensed the wrong medication at any time at the facility. On 11/02/2022, LPA Jeffries conducted a medication audit and found that Centrally Stored Medication Record (CSMR) to be in line with current medication for each resident with correct medication count correlated to CSMR. At this time there is not enough evidence to support the allegations of, “Facility staff dispense the wrong medications to residents.” and “Facility staff are not following reporting requirements.” And both allegations are unsubstantiated at this time.
Exit interview, report read, and report completed. |