| Interviews with three of four staff revealed that narcotics are destroyed by two staff members and that they keep a destruction log at the facility. Two of four staff informed LPA that if the resident is on hospice, the LVN will destroy the medications before leaving the facility. One of four staff informed LPA that they have never destroyed medications at the facility due to their position.
LPA observed a destruction of medication list for Resident#1 (R1) dated December 10, 2025 for two controlled substances that were destroyed by a hospice care nurse as well as a disposal lists for R1 and Resident #2 (R2) with two staff signatures on every entry during their stay at the facility until they left the facility.
Therefore, the facility allegation of narcotics are not properly destroyed has been deemed UNFOUNDED.
Regarding the allegation of Staff are not properly trained revealed the following: It was alleged that staff had not been trained on how to assist residents with transferring from a wheelchair. LPA observed an in service training dated July 2, 2025, covering topics of postural supports and caring for residents with dementia.
LPA conducted interviews with residents and two of three residents were unable to confirm or deny if they have been injured due to staff assisting them in and out of their wheelchair. LPA observed faint bruising on two of three residents arms where the wheelchair lines up. LPA observed two of three residents fidgeting with their wheelchair and their arms hitting the wheelchair where the faint bruising was observed.
Therefore, the facility allegation of Staff are not properly trained has been deemed UNFOUNDED.
Regarding the allegation of Facility did not have sufficient food revealed the following: LPA observed the kitchen and pantry to have more than a two day perishable and seven day nonperishable food supply on hand. Interviews with four of four staff revealed that the facility has not had any issues with the food supply. One of three residents informed LPA that they get enough to eat and has not had a problem with getting food. Two of three residents were unable to confirm or deny the allegation.
Therefore, the facility allegation of Facility did not have sufficient food has been deemed UNFOUNDED.
Regarding the allegation of Facility staff are not following infection control practices revealed the following: It was alleged that staff are not disposing of their gloves before assisting in the dining room and kitchen. LPA observed the facility infection control plan that states facility staff are to perform hand hygiene before and after assisting residents with medications, food or assisting with bodily fluids. Four of four staff informed LPA that they are trained to take the gloves that are being used to assist residents off in the same room or bathroom that they are assisting the resident in. Continue on LIC9099C
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