Regarding the allegation facility does not provide well balanced meals, it was reported that Resident #1 (R1) was served a tuna sandwich with a donut and or frozen meals only. Information obtained from Administrator, staff, residents, and witness indicated that residents are provided well balanced meals. It was also reported that each resident is able to request their own meals. LPA observed lunch being cooked for two residents and they chose what foods they wanted to eat. LPA was unable to obtain additional pertinent information regarding the allegation due to inability to interview R1.

In regards to the allegation facility did not inform resident’s POA a change in condition, it was reported that R1’s authorized representative was not informed of the resident beginning to wander at night and R1’s physician possibly changing medication. LPA conducted interviews with Administrator, staff, residents and witness and information obtained from the interviews did not corroborate the allegation that a meeting took place between the Administrator, social worker and R1’s PCP and R1’s POA was not informed. LPA conducted review of R1’s physician report, R1’s medication record, hospice records, visitor sign in sheets did not corroborate a change of condition that R1’s POA would not have been informed of.

In regards to the allegation that facility did not change resident’s adult brief, it was reported that R1’s adult brief was not changed by caregiver. Information obtained from interviews with staff indicated that residents are changed every 4 hours or more if needed, residents that use adult brief’s are clean and dry at all times. LPA conducted a review of residents hospice of visits from hospice agencies did not contain at any time that a residents were left in soiled briefs did not corroborate the allegation.

In regards to the allegation facility requesting resident to be medicated. It was reported the Administrator called R1’s authorized representative inquiring if R1 can be placed on medication due to wandering at night. Information obtained from Administrator denied that the facility requested R1 to be placed on medication.

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Based on staff interviews, resident interviews, facility records, resident files, the allegations that facility neglecting residents in care, facility does not provide well balanced meals, facility did not inform resident’s POA a change in condition, facility did not change resident’s adult brief, facility requesting resident to be medicated is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted with Leofel Capulong and a copy of this report along with LIC811- Confidential Names list was provided.