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32 | Allegation: “Facility staff did not ensure that resident received medication while in care:”
The complaint alleges that facility staff did not ensure R1 received their diabetes medications, resulting in high blood sugar and A1C levels. Physician’s report indicates R1 can administer their own insulin pen with assistance. Interview with R1 revealed that facility staff regularly assist R1 with their diabetes medications, throughout the day as ordered by R1’s physician. Staff interviewed indicated that the medication technician sets up the insulin pen with the proper amount of insulin. Staff stated R1 is cooperative with medications, but sometimes, R1 requires hand-over-hand assistance for their diabetes care. LPA reviewed medication logs for R1 during the time of the complaint allegation. Medication logs indicate R1 received all 3 (three) injectable medications related to diabetic care as prescribed during the month of the complaint allegation. Interview with R1 revealed that the staff do assist R1 with medications and that the medication technicians come into R1’s room to administer injectable medications four (4) times daily. Staff interviews revealed that medications are administered and initialed either in the electronic MAR or paper MAR as appropriate for each resident. Based on record review and interview, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation that “facility staff did not ensure that resident received medication while in care” is deemed UNSUBSTANTIATED at this time.
Allegation: “Facility staff did not ensure that resident had a change of clean clothing while in care:”
LPA reviewed the care assessment and service plan dated 10/25/2022 and labeled updated care plan for R1. Care plan indicates R1 is independent in dressing. Physician’s report dated 05/17/2022 indicates R1 requires supervision with grooming and hygiene needs, but is independent for dressing. During an unrelated visit on 06/13/2023, LPA interviewed R1 at 04:58PM. R1 indicated they pick out their own clothing and dress themselves. Laundry is washed twice weekly; it is taken on the resident’s designated laundry day and is delivered back to the resident’s room the same day by the housekeeping staff. LPA observed that all of R1’s clothing was clean, including what R1 was wearing during the visit. Staff interviews revealed that R1 is relatively independent, picks out their own clothes, and dresses themselves independently. Therefore, based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the allegation; as thus, the allegation that “facility staff did not ensure that resident had a change of clean clothing while in care” is deemed UNSUBSTANTIATED at this time.
No citations issued in relation to the above allegations. Exit interview conducted with Administrator. A copy of the report was provided.
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