The Elderly Inn III

Allegation investigated: Residents are chemically restrained with medication Facility staff not fingerprint-cleared Staff are using drugs while on duty Facility staff are abusing residents

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to complete the complaint investigation and deliver findings. LP met with Marinela Barac, Administrator, and explained purpose of inspection. LPA observed (2) staff, Juliet Wilson and Kassandra Howell, also present. LPA observed (4) residents in the common area and was informed (1) resident, who was under hospice care, passed earlier today. During the investigation, LPA interviewed the Administrator, (3) staff and (3) residents and confirmed photo ID's for (3) staff. LPA reviewed staffing schedules and compared medication orders to medications being administered for (2) residents. The results of the investigation are as follows: Allegation: Residents are chemically restrained with medication. Complaint alleges that staff are giving residents medication to keep them sleeping. Interviews with staff indicated that the Administrator prepares the medications for residents and residents are only given medications for which there is a prescribed physician's order. Staff stated that some cont on 9099C-1... Unfounded 9099C(1)... residents take a nap or two during the day and no residents are being "drugged" to keep them asleep. Administrator stated that she prepares the medications and she or staff will administer them and residents are only given medications that have a prescribed order. Medications were reviewed for (2) residents on 5/16/23, and it was determined that all medications are being administered as ordered and no medications are being given that do not have an order. Administrator stated that no resident is being given medication to make then fall asleep and no residents currently take cough syrup. Three (3) residents were interviewed. One resident stated there are no issues and he receives the same medications every day at the same time. A second resident stated there have not been any problems in receiving her medications, and a third resident confirmed staff bring her medications in a little cup in the morning and evening, at the same time. Al residents interviewed stated that there are no residents sleeping all the time and residents eat meals together throughout the day. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff not fingerprint cleared. Complaint alleges that some staff are undocumented and are not finger-print cleared. LPA reviewed staffing records and schedules and confirmed that all staff are finger-print cleared and associated to the facility. In addition, LPA confirmed all staff's identity from a photo ID or passport. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Staff are using drugs while on duty. Complaint alleges that staff are using drugs while on duty. All staff interviewed stated no staff have ever been observed to be under the influence of drugs or alcohol and provide good care to residents. Three (3) residents interviewed stated that staff provide excellent care. One resident stated "yes, staff helps me- the girls are awake and alert- this is a good facility". Another resident stated "They give good care here" and a third resident stated "they give very good care". cont on 9099C-2... 9099C-2... Administrator stated that she has never observed staff to be under the influence of any drug or alcohol. LPA observed staff to be appear alert, awake and attending to the residents on 6/20/23 and during prior inspections on 4/4/23 and on 5/16/23. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff are abusing residents. Complaint alleges that staff are abusing residents with no specific details provided. All staff stated that no staff has ever been observed to abuse any resident and that all staff are doing a great job in providing care and supervision to residents. One resident stated "no staff are yelling or hitting, to my knowledge". A second resident stated he has not observed any abuse and "the caregivers are good". A third resident stated she has never observed any staff to hit or slap any resident(s), stating "they give very good care". Administrator stated that there is absolutely no abuse of any kind at the facility. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. All allegations were determined to be unfounded. There are no deficiencies cited and the complaint is being dismissed. A Technical Advisory Note is being issued due to no order for A20 Cranberry 25,000 mcg on file with the bottle for resident (R1). Administrator confirmed that resident was never administered this medication as it was not needed and has since followed up with the physician. Exit interview. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Jun 20, 2023 · control 59-AS-20230328171724

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with staff, Ann Marie Thompson, who contacted Administrator, Marinela Barac by phone. LPA met with Administrator at approximately 1:50 pm, and explained purpose of inspection. LPA observed (3) residents in the common area and (2) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently, there are (2) residents on hospice. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols, wore a surgical mask and was screened per Covid-19 precautionary measures upon entering the facility. LPA and the Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (5), resident bathrooms (3), kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters posted. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and locked medications in the kitchen. LPA observed toxins to be secured in the kitchen and laundry room. LPA observed the inside temperature to be 74*F. Fire extinguisher was last serviced 7/27/22. Discussed vaccination status of residents/staff, eligibility for boosters, and booster flyer provided. LPA observed multiple Covid posters throughout as well as other required postings. LPA observed (1) unlocked gate from the inside back patio. There are no bodies of water or a pool. LPA observed sufficient incontinent products and PPE on hand. LPA observed current RCFE Administrator Certificate #6016837740- exp 5/30/24 to be posted. Discussed PIN 22-28.1 issued 11/29/22 regarding visitation protocols. LPA observed a therapy dog who is regularly at the facility. LPA obtained a copy of the current liability insurance and requested an updated copy of LIC500, LIC308 to be provided to the Department by 12/7/22. There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 29, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Marinela Barac during today's inspection. LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 4 resident rooms, 1 staff room, bathrooms, kitchen, common living spaces, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Administrator stated there has been no positive COVID cases at the facility, but have an isolation room and sufficient amount of PPE. LPA and admin completed the infection control domain and facility was found to be in substantial compliance at this time. Administrator to send into CCL LIC500, liability insurance, and administrator certificate. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Dec 17, 2021