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32 | CONTINUE FROM LIC 9099
employee roster, personnel records, admission agreements, MAR, visiting roster for 4/1/24 to 5/1/24, physicians' reports, needs and services plans, level of care notes/factional assessments, special incident reports, hospice binder, and care notes.
Allegation: Resident sustained unexplained injuries while in care.
Investigation Finding: unsubstantiated.
W1 reported that R1 had bruises and scratches from fighting with staff because R1 was refusing medication, W1 also reported that the facility would call W1 and ask if W1 could come and get R1 to take R1s medication and staff informed W1 that the facility wanted to keep R1 medicated due to R1s aggressive behaviors. . S2 further reported that S2 will try 2 or 3 times before charting. S5 reported that S5 has not seen any bruises or scratches on R1 however R1 would hit, and dig R1s nails in staff skin. S5 reported S5 has never witnessed any neglect to R1. S5 reported that the facility has never witnessed R1 with bruises and scratches, S5 stated that S5 worked directly with R1. Therefore, this allegation is UNSUBSTANTIATED.
Allegation: Staff are forcing resident to take medication
Investigation Finding: unsubstantiated.
W1 reported that staff would force R1 to take R1s medication, W1 reported that W1 has never witnessed staff forcing R1 to take R1s medication. W1 further reported that R1 was aggressive and violent and has slapped staff, and threw R1s walker at staff trying to give R1 medication. S2 reported that R1 would often refuse medication and S2 would continue to make rounds and come back and ask R1 again and if R1 would refuse S2 stated that S2 would try a third time and if R1 still refused S2 would chart R1 refused medication. S4 stated that when R1 would refused medication the Medication Technician would prompt R1 2 to 3 times and R1 would sometimes get aggressive and refused and it would be charted. Therefore, this allegation is UNSUBSTANTIATED.
Allegation: Staff did not allow resident to have visitors
Investigation Finding: unsubstantiated.
W1 reported that W1 was not allowed to visit with R1 for two weeks because the facility was lockdown due to COVID. W1 stated that W1 was told all staff and residents had COVID. W1 further reported that R1 was on hospice and W1 was denied visits.
CONTINUE ON LIC 9099C2
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