complaint·June 8, 2021

Staff are not meeting the needs of residents in care Allegation that facility is not meeting he needs of resident's in care as there are only 1 staff per 10 residents and a resident room had clothing out . A staff ratio of 1/10 and clothes left out is not p[rima facie evidence that the resident's needs are not being met. According to management, rooms are cleaned daily and linen is changed as needed. There is no other evidence that resident's needs are not being met. Based on this, the allegation is UNSUBSTANTIATED. Resident sustained bruises due to negligence It was noted on 3/16/20 on hospice care notes that there was bruising on the left wrist and elbow. No distress noted. Management noted that there is no SIR around that time frame and no known causation for the bruising. Although the complaint is alleging negligence, there is no evidence to support that assertion. Based on this, the allegation is UNSUBSTANTIATED Lack of supervision resulting in resident pushing another resident A resident was observed pushing a walker into another resident, R2 while watching a movie. Complaint alleges that this is a lack of supervision and was witnessed by 3rd party. According to Evelyn McGrath, there is no documented incident where this occurred which resulted in the injury of R2 and this was never brought to the attention of staff or management. Based on this, the allegation is UNSUBSTANTIATED As a result of this investigation, LPA finds the allegations that resident left in soiled diapers, staff are not meeting the needs of residents in care, resident sustained bruises due to negligence and lack of supervision resulting in resident pushing another resident 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.