Record review indicated the R1’s care needs include assistance with the following: medication management and showers. R1 was able to independently dress, feed self and preparing meals, toileting, and transfers. Additionally, R1’s care plan indicates assisting R1 with non-pharmacological methods for reducing R1’s pain. Interview revealed staff come and offer to assist R1 with their care needs. Sometimes R1 is amenable and allows staff to assist. Other times, as LPA observed during a visit, staff offer to assist and R1 refuses care indicating it is a bad time and staff need to come back. Interview with R1 indicated staff are “incompetent” and R1 does not want these staff to assist at all. R1 has preferred caregivers and these are the only ones R1 will allow to meet R1’s care needs. Staff interview revealed there are 2 daytime staff R1 prefers and one PM caregiver. For a time, there was one NOC shift staff that R1 would allow to assist, however R1 began refusing care from that staff as well. 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 are not assisting resident with activities of daily living” is deemed UNSUBSTANTIATED at this time.

Regarding the allegation: “Facility staff did not assist resident with medications as prescribed:”

Staff interviews and resident interviews revealed that R1’s primary care physician released R1 from their care and subsequently R1 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 and pain medications, so R1 canceled services with the primary provider. R1’s family member does not help R1 find alternate medical care. Facility staff have attempted to assist R1 with scheduling appointments and locating adequate medical providers, however, R1 refused assistance. Interview revealed that there was a time period where R1’s medications were not ordered by the physician and therefore unable to be administered as R1 preferred. Record review revealed that R1’s medications changed and R1 was requesting for the previous medications to be administered instead of what was ordered at that time. 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 did not assist resident with medications as prescribed” 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.