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32 | Allegation: Facility staff restraining residents to furniture by material
It is alleged that facility staff restrained residents to furniture, including recliners, using fabric or other materials. During resident interviews, residents denied ever being restrained to a bed or recliner. R1 also denied ever witnessing staff restraining other residents to recliners. During staff interviews, staff denied the use of restraints at the facility and stated residents are not secured to furniture or chairs. Staff stated restraints are prohibited unless ordered by a physician and approved exception by licensing. Staff further stated the facility utilizes door alarms and monitoring devices to assist with residents identified as fall risks or wanderers. During the facility walk through, LPA observed recliner chairs throughout the facility and did not observe any type of restraint, fabric, ties, or materials attached to or being used on the recliners. During record review, LPA reviewed R1’s records, Updated Resident Communication & Incident Report Summaries, Admissions Agreement, and communication logs between the facility and R1’s responsible party. No documentation was found indicating the use of restraints, physician orders for restraints, or approval for restraint use at the facility.
Allegation: Facility staff recording resident visit with visitors
It is alleged that facility staff recorded resident visits with visitors. During staff interviews, staff stated the facility has cameras located in common areas of the facility for safety purposes, including the living room, kitchen, dining area, hallways, and outdoor front and back areas. Staff denied that visits are specifically recorded and stated residents, responsible parties, and visitors are informed about the cameras upon admission. During resident interviews, residents did not express concerns regarding cameras or being recorded during visits. During the facility walk through, LPA observed cameras located in common areas of the facility. During record review, LPA reviewed the Admissions Agreement, which documented the presence of cameras in the common areas of the facility. Documentation reviewed indicated R1’s responsible party signed the Admissions Agreement acknowledging awareness of the cameras.
Allegation: Resident got food poising from food prepared by Facility staff
It is alleged that a resident became ill due to food prepared by facility staff. During resident interviews, residents stated they liked the food served at the facility and denied becoming sick from the food. It was reported by S1 that R1 experienced dizziness, vomiting, and diarrhea and had difficulty keeping food down. S1 stated there was no direct diagnosis from a physician and that the information regarding symptoms was reported to the facility by R1’s responsible party. S1 stated the facility treated the symptoms as reported and made reports to hospice regarding R1’s history of dizziness and vomiting as communicated by the responsible party. Per S1, pre-placement documentation included notes reported by the reporting party. During staff interviews, staff denied concerns regarding food quality or residents becoming ill due to food prepared at the facility. Staff stated food is routinely monitored, expiration dates are checked daily, and food supplies are regularly inspected and replaced as needed.
(continued on 9099C)
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