Live Oak Rehab Center

During an interview on 8/19/2025 at 2:02 PM with Resident 1, Resident 1 stated that during lunch on 8/19/2025, CNA 1 and another staff (hospice [compassionate care for people who are near the end of life] staff) were talking so loudly, while CNA 1 was assisting one of her roommates. Resident 1 stated, I told them to keep it down because they were talking too loudly, but they did not stop. I got upset. Resident 1 also stated the night shift staff still wear strong perfume when they come in to work, despite being requested not to. Resident 1 stated, I can smell the night shift staff in the hallway even just standing by my door.

During a concurrent interview and record review on 8/19/2025 at 2:24 PM with SSD, the Social Services Notes, dated 4/1/2025 to 8/19/2025 were reviewed.

There was no documentation that SSD followed up with Resident 1 from 4/2025 to 8/19/2025 to discuss Resident 1's preferences. SSD stated, I visit and talk to Resident 1, but she brings up personal stories. SSD stated she did not document every visit to Resident 1.

During an interview on 8/19/2025 at 3 PM with CNA 1, CNA 1 stated when she covers for lunch break, she only introduces herself to the resident if she answers the resident's call light. If the Resident did not press their call light, she does not introduce herself to them.

During a concurrent interview and record review on 8/19/2025 at 3:05 PM with Registered Nurse Supervisor 1 (RNS 1), the facility's policy and procedure (P&P) titled, Accommodation of Needs, revised 3/2021, the P&P indicated, in order to accommodate individual needs and preferences, staff attitudes and behaviors are directed towards assisting the residents in maintaining independence, dignity and well-being to the extent possible and in accordance with the residents' wishes.

RNS 1 stated, Resident 1 wants things done in a certain way or has preferences, the Interdisciplinary Team (IDT, a group of professional and direct care staff that have primary responsibility for the development of a plan for the care and treatment of a resident) will discuss and if it meets facility policy then it will be added to the resident's care plan and implemented by the facility. RNS1 stated the facility has to meet Resident 1's needs. RNS 1 stated, We have to listen to the resident and accommodate as much as possible.

During a concurrent Interview and record review on 8/19/2025 at 3:27 PM with RNS 1, Resident 1 Care Plans dated 3/2024 to 8/2025 were reviewed. RNS 1 stated there were no care plans developed to address Resident 1's preferences. RNS 1 stated, No care plan means it was not consistently done. RNS 1 stated the care plans were made unique to the Resident and an organized way to determine if the facility is managing or solving the problem of the Resident.

During an interview on 8/19/2025 at 3:35 PM with RNS 1, RNS 1 stated, We should always introduce ourselves to the Resident to let the Resident know who to call for if they need assistance. It was part of the Resident rights. We introduce ourselves to the Resident for dignity and respect. RNS1 stated this keeps the Resident aware if the staff were to leave and who will be covering.

During a concurrent interview and record review on 8/19/2025 at 3:41 PM with Administrator (ADM), the Concern Record dated 3/14/2025 was reviewed. ADM stated, The Concern Record was all of Resident 1's preferences. We always come and see Resident 1, but we did not have a documentation every time we visit her to ensure that her preferences are being followed by the staff.

During a review of the facility's Policy and Procedure (P&P) titled, Dignity revised 2/2021, the P&P indicated each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem.1.

Residents are treated with dignity and respect at all times.2.

The facility supports dignity and respect for residents by honoring resident goals, choices, preferences, values and beliefs.

This begins with the initial admission and continues throughout the resident's facility stay.3.

Individual needs and preferences of the residents are identified through the assessment process.

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