complaint·April 26, 2023

Facility administrator lacks current qualifications. Administrator does not spend a sufficient amount of time at the facility. During the course of the investigation, LPAs reviewed administrator qualification, staff time sheets, and obtained copies of facility documentation. The current facility administrator does have a valid administrator certificate, and certificates were obtained prior to assuming the role as administrator. Facility documents show that the Administrator is at the facility every day and as needed. Documents also show there is sufficient staff at the facility to meet the residents needs. Based on staff interviews and the information received, LPAs find the above allegations to be UNFOUNDED meaning that the allegation are false, could not have happened, and/or are without a reasonable basis. Facility does not have back up food supply. Facility does not ensure that residents are adequately fed. During the course of the investigation, LPAs observed the food supply area and refrigerators. The facility has shown to have adequate amounts of 2 days of perishable foods and 7 days of non-perishable foods for residents. Interviews with residents revealed that the residents get additional servings during meals if requested and snacks throughout the day. Therefore, the finding for these allegations is UNFOUNDED meaning that the allegations are false, could not have happened, and/or are without a reasonable basis. Facility does not ensure that residents have medications on time. LPAs have reviewed medications, interviewed 5 staff and interviewed 2 residents. At this time, LPAs are not able to prove that there are any medications missing from the facility. Residents interviewed report receiving medications as prescribed. Medication counts appear to be accurate in relation to MAR. At this time, LPAs find no credible evidence that staff failed to properly administer resident's medications. Medications appear to be given as prescribed. Therefore, the allegation is UNFOUNDED meaning that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview was conducted with Administrator Rod Fleeman and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents.