complaint·September 6, 2023

Regarding Allegation: Insufficient staff to meet resident’s needs. It is alleged that the facility does not have enough staff to meet resident’s needs. The investigation revealed that during the Month of 2021 when the allegations were made, Facility was experiencing covid infections and some staff had to be sent home to isolate. Facility crossed trained staff to cover for absent staff. Administrator stated that they have enough staff to care for the needs of all residents. 5 of 5 staff denied the allegations. Administrator and other staff stated that due to the pandemic, the facility reached out to staff registries help facility out when staff was sent home to isolate. LPA interviewed 14 residents and 9 of 14 residents stated that there is enough staff to meet resident’s needs. Administrator and Medication technician stated that only authorized staff dispense medication. When other staff was sent to medication room, it was just to assist with the call box . Regarding Allegation: Covid-19 safety protocols are not being followed. It is alleged that the facility is not following Covid-19 protocols and that is contributing to Covid-19 spread. LPA interviewed fourteen residents and 12 of 14 residents could not collaborate the allegations. All staff stated that facility is adamant with staff following all covid 19 safety protocols. LPA was screened on every visit made to the facility and observed staff following covid safety protocols including wearing mask throughout the facility. Allegation: Resident's requests for assistance are not being responded to in a timely manner. It is alleged that staff are not responding to help in timely manner. 5 of 5 staff denied the allegations. Some staff stated that all calls are prioritized according to needs. For example, Personal care will take priority over locating a remote for the TV. However, communication with all residents asking for assistance is answered promptly. LPA interviewed 14 residents and 13 of 14 residents could not collaborate the allegation. Several residents stated that their calls for assistance are answered promptly or at minimum contacted by staff to give an estimated time when they will be able to respond if it will take longer than usual. LPA randomly tested the call lights in 5 rooms and staff responded in timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview held. A copy of the report was provided.