Regarding the allegation: Staff do not ensure adequate care is provided to residents in care. It is alleged that staff do not provide twenty-four-hour care to the residents. R2-R4 stated staff members always assist them with their daily needs. S1-S2 stated they provide the care needed and stated residents have not complained about the service provided. The Administrator denied the allegation.

Regarding the allegation: Staff do not ensure showering assistance is provided for residents in care. It is alleged a resident only received assistance with a shower once a week. R1-R4 confirmed staff assist with showering or a sponge bath at least two times a week. S1-S2 confirmed they assist residents with showering and sponge baths at least two times a week. The Administrator denied the allegation.

Regarding the allegation: Staff do not ensure toileting assistance is provided to residents in care. It is alleged that staff do not assist residents to the bathroom. R1 stated staff assistance is limited. R2 stated they don’t need assistance with toileting. R3-R4 stated when they ask staff for assistance, the staff always assists them to the toilet. S1-S2 confirmed they assist some residents to the toilet and also change diapers. S1-S2 also confirmed they always check with residents at least four to five times a day regarding their toileting needs. The Administrator denied the allegation. During LPA’s visit, LPA observed two residents were assisted to the toilet.

Regarding the allegation: Staff does not ensure residents are allowed to choose their own health care providers – It is alleged the Administrator tried to force a resident to use a specific home health provider. R2-R4 confirmed they choose their own health care provider. S1-S2 and the Administrator denied this occurred.

Regarding the allegation: Staff do not ensure resident is accorded personal privacy while in care – It is alleged a resident entered another resident’s room without permission and staff have not handled the issue. R2-R4 stated other residents do not

Continued on 9099-C

Regarding the allegation: Staff did not ensure a residents’ medications were properly managed. It is alleged that the staff did not reorder a resident’s medication and the resident missed three doses during the month of December, 2023. R2-R4 stated the staff have never missed ordering their medication and they always receive their medication each day. S1-S2 denied this occurred. The Administrator stated they ensure residents’ medication is always available at the facility. LPA reviewed the residents’ medications, the Centrally Stored Medication Destruction Records and the Medication Administration Record (MARS) for each resident. R1-R4 have taken their medication each day.

Regarding the allegation: Staff do not ensure medications cabinet is properly secured at all times. It is alleged staff members have left the medication cabinet unlocked. R1-R4 stated they have never observed the medication cabinet unlocked. S1-S2 and the Administrator denied the allegation. During LPA’s tour of the facility on 1/17/2024, LPA observed the medication cabinet was locked.

Regarding the allegation: Staff did not ensure medications were dispensed as prescribed to residents in care. It is alleged a resident’s medication was given at incorrect times. R2-R4 all confirmed they receive their medication each day at the designated time. S1-S2 and the Administrator also denied this occurred. Upon reviewing the Centrally Stored Medication Destruction Records and the MARS for each resident, LPA did not observe any errors.

Regarding the allegation, Staff do not ensure residents are spoken to in an appropriate manner. It is alleged staff have yelled at a resident. R2-R4 denied this has occurred and stated staff treat residents with respect. R2-R4 also stated they have never witnessed a staff member yelling at another resident. S1-S2 stated they would never yell at residents. The Administrator denied the allegation.

Based upon interviews and review of residents’ records, the allegations are unsubstantiated. Exit interview conducted and a copy of the report was given.