complaint·April 15, 2025

During the investigation, it was reported that the resident (Resident 1) has had several falls. It was stated that the resident wants to be independent and tends to want to get up on her own without assistance. Staff reported that the resident has been reminded frequently that she needs to use the call button system when she wants to get up. It was stated that systems have been put in place to assist the resident with ambulating, to include, a stepping pad, physical therapy, chair alarms and the resident’s pendant. It was stated that staff are present at the facility and are available to meet the resident’s needs In addition, it was reported that there was a lack of supervision with incontinence care. All staff reported that the resident is on a toileting schedule and is checked on every two hours and more frequently, as needed. Facility is understaffed . During the interview process, the administrator, and eight staff persons were interviewed. Documents were obtained to include Physicians Reports, Emergency Information, Appraisals and Needs and Admission Agreements, Incident Reports, Medical Administrative Records (MARs), staff persons names and contact numbers. During the investigation, it was reported that at times, it is felt that the facility is understaffed. Overall, it was reported that the resident’s (Resident 1) needs are being met through her Assisted Daily Living (ADLs) tasks to include showering, incontinence care, toileting, dressing, personal hygiene, escorting and transferring. Staff do not answer call button . During the interview process, the administrator, and eight staff persons were interviewed. Documents were obtained to include Physicians Reports, Emergency Information, Appraisals and Needs and Admission Agreements, Incident Reports, Medical Administrative Records (MARs), staff persons names and contact numbers. During the investigation, it was reported that at times it is very busy at the facility; however, the staff are available to answer call buttons in a timely manner. Although the above allegations mentioned may have happened, or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the above findings are Unsubstantiated .