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32 | Continued from LIC9099...
Further interviews with staff indicated these in-services can range from group training's to being given pamphlets to read on their own. Review of ten (10) of ten (10) staff training records indicated that staff are receiving the required training hours as per Title 22 regulations. Review of in-service training logs indicated that staff are receiving additional training hours on topics not covered by initial 40 hours or annual 20 hours of training.
Staff did not ensure resident's incontinence needs were being met – RP alleges that resident (R1) was not provided incontinence care when required. Review of Care notes indicated that R1 was returning to the facility from the hospital and a bed was being assembled for them, third party medic advised R1 that they were wearing incontinence supplies and could use them. Review of Care Notes indicated that R1 did require incontinence care, however, as they had just returned from the hospital staff felt R1 was too unstable to be moved multiple times and elected to wait “a few minutes” until the bed was assembled. R1 was then moved to the bed and changed. RP alleges that R1 could have been taken to the bathroom and changed instead of being made to wait. Interviews with management indicated that staff may have been able to move R1 to the bathroom without incident, however, waiting to use the bed for a more stable platform was to ensure safety.
Staff did not obtain medical care for resident in a timely manner and Staff instructed resident to stay in their room – RP alleges that R1 was presenting behaviors that should have resulted in emergency services, however, facility staff did not send the resident to the hospital and instead told R1 to stay in their room. Interviews with Health and Wellness Director (HWD) indicated that resident presented with blurry vision and facility staff called emergency services to have them sent to the hospital. Interview with Health and Wellness Coordinator indicated that as soon as they were made aware of residents symptoms they called emergency services. Interview with Memory Care Director (MCD) indicated that emergency services were activated when R1 presented stroke like symptoms. Interview with staff (S1) indicated that resident initially did not present with any symptoms indicative of a stroke and stated they were “sleepy” and wanted to be in their room. S1 suggested R1 sleep, and approximately an hour later R1 used their pendant alarm and started to present with blurry vision, at this time emergency services were activated. Further interviews with S1 indicated that they did not force R1 to stay in their room and instead suggested they get sleep when R1 stated they were feeling tired. Review of R1 chart notes indicated once R1 complained of blurry vision their vitals were taken and emergency services were immediately activated.
No deficiencies cited. Exit interview conducted with Regional Director of Operations, whose signature on form confirms receipt.
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