complaint·August 2, 2023

Allegation: Staff are not assisting residents with transfers as needed Investigation Finding: Unsubstantiated During investigation, LPA observed resident’s (R1) level of care assessment (Level 2) dated 11/24/21 show R1 is able to transfer independently and ambulates independently with or without an assistive device. Other residents stated that staff always assist them when needed. Based on interviews and record reviews which were conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff are not assisting residents with transfers as needed is unsubstantiated. Allegation: Staff are not checking on residents as needed Investigation Finding: Unsubstantiated During investigation, LPA observed residents have a call button to use whenever they need staff assistance. Staff (ADM, S2) stated residents are checked at least 3 times per day when they perform their residents’ status checks. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff are not checking on residents as needed is unsubstantiated. Allegation: Impaired staff puts residents at risk Investigation Finding: Unsubstantiated During investigation, staff (ADM, S2) denied any staff being impaired on the job. Random interviews with residents (R2, R3, R5) confirm they did not observe any impaired staff on duty. Based on interviews and record reviews which were conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that impaired staff puts residents at risk is unsubstantiated. Exit Interview conducted and a copy of this report provided.