complaint·March 4, 2022

Based on interviews conducted, both S1 and S2 admitted that a party was held at the facility’s garage on Christmas of 2020 evening. However, S1 states that it was conducted during S1’s off hours and S2 was the person on duty. S2 confirmed with LPA that the party was conducted during S1’s off hours. And that S2 was the person on duty for the shift. S2 added that all residents were provided the needed care and that no resident fell during the shift. S2 added that R1 calling for “help” is part of R1’s behavior having been diagnosed with dementia. On 9/22/2021, LPA L. Fontanilla interviewed R1’s responsible person who stated that R1 has never fallen at the facility. LPA reviewed R1’s records and observed that R1 was diagnosed with dementia and is confused and disoriented. On 9/22/2021, LPA interviewed the Administrator who states that no resident has fallen in December 2020. Based on interviews and record reviews conducted, the above is allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiency observed during visit. Exit interview conducted and a copy of this report provided via e-mail to administrator.