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32 | Continued form 9099...
observed salt and pepper. During investigation, Spanish speaking LPA Cuadra attempted to conduct interviews with four (4) staff. Of the four (4) staff, one declined to interview, one agreed to be interviewed, and two (2) did not respond to LPA’s attempts to interview. During investigation, LPA Coppo conducted interviews. Four (4) out of four (4) staff report that residents can ask for whatever they like as far as food and they then ask the kitchen staff to get it. Four (4) out of four (4) staff report that to the best of their knowledge the facility has never run out of butter or salt and pepper. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Complaint alleges resident call button in disrepair resulting in residents needs not being met. Complainant alleges that resident (R2) urinated on the floor in their bedroom due to not receiving help from staff when using call button pendant. During investigation, LPA observed R2’s call button pendant to not work. LPA pushed call button pendant, waited for 11 minutes, but no staff ever showed up. Additionally, when LPA pushed call button pendant LPA did not hear a sound notification go off or alert to staff. During initial visit to facility, LPA observed call button affixed to the wall behind a television, not easily accessible. During subsequent visit to facility, LPA observed the call button that was affixed to the wall had been moved from behind the television to a more accessible spot on the wall. During investigation, Spanish speaking LPA Cuadra attempted to conduct interviews with four (4) staff. Of the four (4) staff, one declined to interview, one agreed to be interviewed, and two (2) did not respond to LPA’s attempts to interview. During investigation, LPA Coppo conducted interviews. Four (4) out of four (4) staff report that R2 does have incontinence issues but could not remember if R2 had ever urinated on the floor in their room. One staff indicated that R2 does have accidents but did not recall exactly where R2 urinated, commenting that the only problem is when “R2 does not urinate in the toilet.” So, LPA did determine that R2’s pendant was in disrepair, staff did not respond to it, and the call button for the room, at that time, was not easily accessible as it was located behind a television. However, LPA did not obtain a preponderance of evidence showing that the broken pendant resulted in resident’s care need not being met. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Exit interview conducted with licensee and copy of this report given. |