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32 | Pg 3
Staff did not seek medical attention for resident.
On the allegation that staff did not seek medical attention for R1, the RP stated that they visited R1 on 6/28/2023 and there were no signs that R1 was sick, however, when RP visited on 07/02/2023, R1 was unresponsive, had shallow breathing, and looked bad. RP stated that the staff didn’t know what to do and called the facility nurse. RP stated that the nurse came in and said, “What do you want me to do?” RP stated that they couldn’t believe that staff couldn’t tell there was something wrong with R1. RP stated that staff checked R1’s oxygen levels, and it was at 90%. RP stated that RP had to tell the staff to call 911. R1 was taken to the hospital, and R1 was diagnosed as having pneumonia. The staff interviews revealed that R1 appeared to be normal on the days preceding the incident, however, on 07/02/2023 R1 was lethargic during the day, however there were no signs of distress, no high temperature, skin looked normal. R1’s representative was visiting with R1 on 07/02/2023, and the representative noticed that R1 did not look well. Staff checked the R1’s oxygen level, which was measured at 90% (normal level is 95%). Staff contacted the facility’s LVN and told the LVN that R1’s representative was requesting to call 911 for R1. Staff called 911, and R1 was transported to the hospital for evaluation. R1 was diagnosed as having pneumonia.
Based on the interviews, observation, record review, there is insufficient evidence to prove that staff failed to seek medical attention for resident. Therefore, the allegation is deemed Unsubstantiated at this time.
Staff are over medicating resident.
It is alleged that R1 was being over medicated by staff, however the RP does not know what was being given to R1 to cause R1 to appear sedated, and lethargic. To investigate the allegation, on 07/24/2023 and 11/19/2024, LPA Urena conducted record review of the Centrally Stored Medication and Destruction Record (LIC 622), and interviewed the administrator, the LVN, staff, and RP. The record review indicated that all the medications were prescribed by R1’s physician. One of the medications prescribed to R1, indicate that the side effects may be drowsiness, dizziness, nausea and headache. The staff interviews revealed that they assisted R1 with the medication per the instructions on the LIC 622. The facility LVN stated that R1 was prescribed Temazepam for agitation. The interview with the RP revealed that all medications being given to R1 were prescribed by R1's physician.
Based on the information obtained through interviews and record review; staff was assisting R1 with medications as prescribed by R1’s physician. Therefore, the allegation is deemed Unsubstantiated at this time.
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