complaint·September 17, 2024

Staff neglect resulted in a resident to be hospitalized - UNSUBSTANTIATED Staff left a resident unattended - UNSUBSTANTIATED Based on interviews and record reviewed, it was determined that based on R1’s resident assessment/care plan, R1 was able to independently bathe, dress, feed, toilet, manage cash, administer medications, and store medications on their own. R1 was able to independently transfer to and from bed. R1 did not require additional checks. R1’s resident assessment was completed approximately every six months without any major updates. Prior to R1’s hospitalization, R1 did not have any incidents of falling or sustaining injuries. Additionally, facility staff were checking on R1 three times a day which was the standard amount. R1 did not require additional checks and did not require checks during the NOC shift, therefore the allegations are found to be UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator and a copy of this report was provided to the facility. Staff did not ensure a resident's emergency pendant was properly operating - UNFOUNDED Staff did ensure the facility's radio was properly operating - UNFOUNDED Based on interviews and record reviewed, it was determined that the facility radio, along with the emergency pendant was operating properly. Documents show that R1’s pendant was pressed, and the pull switch was pulled, and the connection was delivered to radio/staff who responded within four minutes, therefore the above allegations are UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not meet a resident's hygiene needs - UNFOUNDED Based on interviews and record reviewed, it was determined that based on R1’s resident assessment/care plan, R1 was able to independently bathe, dress, feed, toilet, manage cash, administer medications, and store medications on their own. R1 was able to independently transfer to and from bed. R1 did not require additional checks, therefore the above allegations are UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview was conducted with Administrator and a copy of this report was provided to the facility.