complaint·October 2, 2024

PAGE 1 On the allegation of "Staff do not provide adequate food service to the residents" LPA interviewed staff and found that staff cook 3 square meals a day and provide snacks. LPA also observed plenty of food available to residents during each visit. Administrator also provided photos of residents meals throughout the months therefore the allegation of "Staff do not provide adequate food service to the residents" is UNSUBSTANTIATED. On the allegation of " Staff did not prevent a resident from getting injured while in bed" LPA interviewed staff and discussed how when residents are agitated in bed they provide comfort as well as any prescribed medications as needed. LPA also conducted a collateral visit where they found that R1 can become agitated and bruises easily due to a condition therefore the allegation of " Staff did not prevent a resident from getting injured while in bed" is UNSUBSTANTIATED. On the allegation of " Staff mishandled a resident's medication" LPA interviewed staff and was not able to identify a time when medication was distributed inappropriately. LPA also obtained copies of the MAR that were complete and accurate. LPA also viewed the current MAR that was complete and up to date therefore the allegation of " Staff mishandled a resident's medication" is UNSUBSTANTIATED. On the allegation of " Staff do not have planned activities for a resident" LPA interviewed staff and found that they do daily activities with residents such as walking or puzzles. LPA also observed a variety of activities available to the residents. Administrator also showed LPA photos of residents engaging in activities at the facility throughout the year therefore the allegation of " Staff do not have planned activities for a resident" is UNSUBSTANTIATED. On the allegation of " Staff allow a resident to consume alcohol without proper authorization" LPA interviewed staff and found that residents are never allowed to consume alcohol and that any alcohol brought into the facility is for the live in caregivers and is stored in the garage out of residents availability. LPA did not observe any alcohol accessible during visits therefore the allegation of " Staff allow a resident to consume alcohol without proper authorization" is UNSUBSTANTIATED. REPORT CONTINUES ON LIC9099-C PG 2 CONTINUED PAGE 2 On the allegation of " Staff are not properly trained to handle a resident with dementia" LPA observed that all staff are up to date on their training's therefore the allegation of " Staff are not properly trained to handle a resident with dementia" is UNSUBSTANTIATED. On the allegation of " Staff are not notifying authorized representative of incidents involving a resident" LPA observed that Administrator had a record of all incident reports. Administrator also showed text message communications of daily life and updates to residents families including R1 therefore the allegation of " Staff are not notifying authorized representative of incidents involving a resident" is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.