complaint·October 13, 2023

Continued from LIC9099. with staff S1 stated she has first aid training and had trained the new staff but did not record the training. During record review LPA did not observe any training records and that only one staff S3 had first aid training. On the allegation Staff are not adequately maintaining residents’ records. RP reported that the residents’ records are not current, which poses a potential problem if the staff is not aware of the residents’ conditions. LPA reviewed all the resident records and observed none of the residents have a current appraisal needs and services plan, two of four were missing the consent form, a current physician’s report, and the ID and emergency information. None of the resident records contained personal rights or safeguards for property/valuables. Based on LPAs observations, interviews conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Both substantiated allegations were cited on the required annual inspection on 10/04/2023. Exit interview conducted and a copy of this report provided. Continued from LIC9099. also changed residents while LPA was visiting. The caregiver stated she checks the resident every hour or so or changes them when at the resident’s request. S1 stated that residents should be checked at least every two hours. On the allegation facility is odiferous. RP reported the facility smells bad. Upon arrival LPA did not smell any foul odors on the outside or inside of the facility. LPA did not observe any garbage or dirty laundry that may cause an odor. On the allegation the facility is dirty. RP reported the bathroom, floors, and kitchen are filthy. LPA conducted an annual inspection on the same day as opening this complaint. LPA observed the facility being clean and sanitary. LPA did observe some items were blocking the passageways in the back yard. LPA cited the facility under the annual inspection for the items. Based upon the information obtained and the observation during the investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview conducted and a copy of report was given .