complaint·October 8, 2025

Allegation: Staff did not transfer a resident in care Investigation Finding: Unsubstantiated During investigation, LPA interviewed reporting party (RP), residents (R1,R2), facility staff (ADM, S1, S2, S3) and reviewed R1’s documents. Review of R1's admission agreement dated 12/18/24 showed resident (R1) was first admitted at the facility on 01/03/25. At 3:30PM, LPA interviewed residents (R1, R2) who stated that staff assist them with their activities of daily living (transferring in and out of bed, showering, toileting, grooming, feeding, dressing, incontinence care, medications) and that staff provide them with excellent care. ADM stated that the Home Health team for R1 never offered staff to train them in his mobility care. S1 and S2 stated that they were already trained to properly use the Hoyer lifts by R2's prior Home Health therapists. At 5PM, LPA observed S1, S2 properly assisted R1 and R2 with transfers in and out of bed using the Hoyer lifts, incontinence care and feeding them dinner during visit. LPA observed R1 and R2 were comfortable with staff assisting them with the transfers using the Hoyer lifts. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff did not transfer a resident in care is unsubstantiated. No deficiency cited during visit. Exit interview conducted and a copy of this report provided.