complaint·September 4, 2024

immediate health and safety hazard affecting residents. At 12:30PM LPA requested and received copies of R1’s ID/Emergency, Admission Agreement, Physician Report, Medication Administration Records, Unusual Incident Reports, Resident History Chart, Facility Menu, Resident and Staff roster. Investigation was continued by SI Ferris. Interviews of the staff conducted by SI on 05/20/2024, revealed that staff denied the allegation. On 05/30/24 SI spoke with witnesses (W1) and (W2) who had knowledge about R1’s health care. W1 indicated that doctors were unable to establish the cause of R1’s injury and could not confirm they oral ulcer was a result of a thermal burn. Per witness (W2) R1’s statement regarding the incident was “nonsensical” and W2, had no worries or concerns with staff or the facility. On 06/03/2024, SI spoke with R1 and other residents. R1’s statements were inconsistent as to what occurred and other residents who R1 stated witnessed the incident denied seeing the incident. A review of R1’s record conducted on 05/01/24 did not revealed any information to support the allegation. Overall investigation did not provide sufficient information and/or evidence to substantiated neglect/lack of care. Therefore, based on observation, interviews and record review, the allegation is UNSUBSTANTIATED at this time. Facility staff do not treat resident with dignity and respect. It was alleged that staff get frustrated when residents gives them a hard time. During today's visit, at approximately 10:50AM LPA conducted physical plant tour, interview residents, administrator, and staff. Interview with three (3) out of thirty-two (32) residents revealed that staff always treats them with dignity, respect and they do not have any concerns regarding this allegation. Residents reveal staff are never frustrated, staff are nice and help when they need it. Interview with Administrator and three (3) staff members reveal staff always treat residents with dignity and respect. Administrator indicated not receiving a complaint from residents, residents family members or other staff about staff not treating residents with dignity and respect. Administrator reveal that all residents, staff and visitors are treated with dignity, values and respect. Two (2) staff reveal residents are treated like family and they always respect the residents. LPA did not observe staff being frustrated at residents in care. Based on information obtained through interviews and observation there is not enough sufficient evidence to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No Deficiencies noted at time of visit. Exit interview was conducted and a copy of report was issued.