Print Inspection: 96NV

Based on record review and interview, Compliance Specialist was unable to confirm that the facility failed develop and implement a written policy that prohibits the falsification of records. Findings include but not limited to:

A review of facility's falsification of resident records policy states: "... falsification of any resident record will not be tolerated. Employees falsifying resident records will be subject to immediate termination."

A review of Resident #2 (R2's) Medication Administration Record (MAR) for April 2022 revealed instances when facility documented that medications were "given to family to give later."

During a phone interview 11/28/2022 R2 stated that their family did not visit them in the facility in April 2022. Most of their family lives out of state and those who lived in-state never visited her in the facility.

In an electronic correspondence received on 11/22/2022 Staff #2 (S2) stated "resident moved out of our community, Narcotics were given to her upon leaving our community. she signed them out of our NARC Book acknowledging they were given to her. Exception on our EMAR was marked as given to family because that is the exception able to be selected on our EMAR but it was really given to the resident herself."

CS called facility on 11/28/2022 to review findings and was told that S2 no longer works at facility and their last day was 11/22/2022.

Based on interview and record review it was confirmed that the facility failed to provide laundry services. Findings include but not limited to:

During interview, Staff #3 stated that the facility's laundry schedules are posted in the laundry rooms and staff are to sign off laundry completed on the schedules.

A review of posted laundry schedule revealed that laundry had not been completed on Monday 11/21/2022.

These findings were reviewed with Staff #1 on 11/22/2022 who was in agreement.

Plan of Correction: Facility to conduct an in-service 11/23/2022 during shift change to review laundry policies and procedures.