complaint·July 31, 2023

It was alleged that staff does not provide adequate supervision to a resident while being transported, however on 2/7/23 during the course of the investigation, LPA interviewed S3; S3 stated “I heard a yell from R1 room. I came to R1 room and found R1 on the floor. I immediately assessed R1, and immediately call 911”. S3 assisted R1 while waiting for EMT to arrive to transport R1 to the hospital. S3 states “I never left R1 side until R1 is safely being transport by the EMT”. On 2/7/23, LPA interviewed RP who stated that staff did not accompany the resident on the emergency vehicle nor follow behind, however there is no regulation requiring staff to do so. Unsubstantiated It was alleged that staff are denying an authorized representative access to incident report. On 2/7/23 LPA interviewed RP who stated, “RP wanted to obtained documents regarding R1 incident, but S1 refused to provide RP with the information”. However, on 2/7/23 LPA interviewed S1 who stated “I attempt to call RP back, left a message, and email requesting for RP to call back to clarified which documents. I never heard back from RP”. LPA reviewed and obtained email communications log/call log showed that S1 attempted to reached out to RP, but RP didn’t response back. Unsubstantiated It was alleged that staff did not seek timely medical attention for R1. On 2/7/23 LPA interviewed S3 states “at 12:30am right when I heard R1 yelled out that’s when I came to R1 room and assessed R1 and called 911 immediately”. Unsubstantiated Based upon interviews conducted, LPA has investigated the above allegation and found that it is Unsubstantiated. A finding that the complaint allegation/s are Unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.