complaint·April 30, 2025

The allegation of “Insufficient Staffing.” alleges that the facility did not employ a sufficient number of staff to care for the facility residents. LPA Byrne observed the facility to currently have two (2) residents at the time of the inspection. LPA interviewed two (2) of two (2) residents. LPA interviewed resident #1 (R1) who confirmed that facility staff are present at all times. R1 stated that the facility Administrator is present throughout the week during the day. Both residents stated that facility staff assist them in caring for their needs. LPA interviewed one (1) staff member, staff #1 (S1). S1 confirmed that they work as a caregiver at the facility and stated that they just began working at the facility today (04/30/2025). S1 described their schedule as Wednesday – Monday from 7 AM to 6:30-7 PM. S1 had no concerns with insufficient staffing at the facility. LPA Byrne interviewed the facility Administrator. The Administrator confirmed that S1’s works as a caregiver and is scheduled Wednesday - Monday 7 AM – 7 PM, with S1’s day off being Tuesdays. The Administrator stated that staff #2 (S2) works as the awake night staff Monday – Sunday 7 PM – 7 AM. The Administrator informed LPA that a former caregiver was let go on 04/21/2025. The Administrator stated that staff #3 (S3) was hired to cover the vacant position in the meantime. LPA interviewed S3 who stated that they only worked for the facility from 04/21/2025-04/29/2025. S3 did not express concerns with adequate staffing at the facility. LPA reviewed the facility’s LIC 500 Personnel Roster. LPA observed this roster to contain the following work schedules: Administrator, Monday – Friday 08:00 AM – 04:00 PM, Saturday – Sunday 07:00 AM – 07:00 PM. S2 Monday – Sunday 07:00 PM – 07:00 AM. S1 Wednesday – Monday 07:00 AM – 07:00 PM. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Insufficient Staffing.” Therefore, the allegation is deemed Unsubstantiated at this time. A copy of the report was printed and exit interview was conducted.