Record review indicated R1’s care needs upon admission included assistance with the following: medication management and showers. R1 was able to independently dress, feed and transfer. Physician’s report completed just after this complaint was received indicated R1 is able to bathe with assistance, dress/groom self, able to feed self, and care for own toileting needs, but unable to administer own medications. Physician’s reports do not indicate a change in condition. Needs and Service plans reviewed also did not indicate a change in condition from Admission to the time of the complaint. Staff interviews revealed that R1’s care needs have remained consistent throughout the time R1 has resided at the facility and when a resident has a change in condition, staff are made aware and adjust their care accordingly. Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation “facility staff have not addressed resident's change in condition” is deemed UNSUBSTANTIATED at this time.

Regarding the allegation: “Staff do not ensure that resident receives adequate medical attention:”

Staff interviews revealed that R1 chooses not to utilize facility transportation, but has a private caregiver take R1 to all medical appointments. Prior to the COVID-19 outbreak, R1 would leave the facility frequently and did receive medical attention regularly. Staff and resident interviews later revealed that R1 attempted to change medical providers and subsequently could not find an alternate primary care provider. R1 refused to see medical professionals that conduct visits on site at the facility. R1 chose an alternate provider, but the provider required R1 change specialists, so R1 canceled services with the primary provider. R1’s family member does not help R1 find alternate care. Facility staff have attempted to assist R1 with scheduling appointments and locating adequate medical providers, however, R1 refused assistance. Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation “staff do not ensure that resident received adequate medical attention” is deemed UNSUBSTANTIATED at this time.

Regarding the allegation: “Facility is in disrepair (hot water):”

Photograph of a sign posted in the facility indicated hot water would be off on or around 08/05/2020 from

Regarding the allegation: “Facility does not follow resident care plan:”

Resident service plan dated upon admission indicates resident requires “perform blood sugar monitoring three or more times per week” and R1 “has generalized body pain…associate to provide reassurance to (R1) and assist with non-pharmacological measures to alleviate pain.” Interview revealed that facility staff did attempt to perform blood sugar readings. R1 chooses to eat breakfast in the morning prior to nursing staff are on premises to conduct a blood sugar reading. R1 refuses blood sugar check at the time the nurse is available and R1 indicated they do not want to wait until after the readings are completed to eat breakfast. R1 utilizes non-prescription creams and ointments as well as rubbing on R1’s lower extremities to help lower R1’s pain. Interviews revealed that in the mornings, staff assist R1 in washing off the previous day’s creams and apply all creams and ointments to R1’s body. In the afternoons, staff are able to rub lotions and creams on R1’s body. However, at night, before bed, when staff attempt to assist R1, R1 would like a caregiver to be present in R1’s room for approximately 1 hour. Staff indicated they are able to assist R1, but cannot spend an hour in R1’s room at that time. Staff offer to come back when there is more time to meet R1’s needs, but R1 yells at staff and tells them to leave. Interview with R1 revealed that R1 doesn’t believe the night staff are able to complete the tasks as R1 requests, therefore R1 does not want their assistance. R1 indicated the night time staff are “incompetent.” Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to prove a violation did occur, therefore the allegation “staff do not ensure that resident received adequate medical attention” is deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of this report was provided via email to Resident Care Director and Executive Director.