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32 | Regarding the allegation: Licensee does not ensure staff have the ability to adequately communicate with residents. It was alleged that staff cannot communicate with R1. To investigate the allegation, LPA conducted an interview with R1. LPA’s interview with R1 revealed that they can communicate with staff and that the staff are “great”. LPA’s interview with R1’s family member revealed they have never had any language barriers with the staff and have been able to communicate clearly in the English language. R1’s family member did disclose that another estranged member of the family could be unhappy or impatient when not given the information they inquired regarding R1 immediately upon their request.
Based on interviews, R1 denied the allegation of any language barriers between them and staff, therefore the allegation is UNSUBSTANTIATED at this time.
Regarding the allegation: Staff does not ensure resident is receiving their medications as prescribed. It was alleged R1 was not receiving their medication as prescribed. To investigate the allegation, LPA conducted interviews with one (1) resident and one (1) staff member. LPA’s interview with R1 revealed the staff give them their medication. LPA’s interview with S1 revealed R1 was discharged from Hospice who controlled their prescribed medication and is in the process of being reevaluated by their new medical team to determine what medications are needed. LPA conducted a record review of R1’s medication. LPA’s review of R1’s Centrally Stored Medication and Destruction Record (CSDMR) along with their Medication Administrator Record (MARs) confirmed R1 has been given their medication as prescribed. Additional record review of R1’s Hospice file confirmed R1 was discharged from their services on 1/26/2026. During LPA’s visit, LPA observed R1 to have been visited by their medical team along with their family member to evaluate their medical needs.
Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
(Continue to LIC 9099-C)
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