complaint·December 31, 2024

Regarding the allegation:1.) Staff handled resident in a rough manner which resulted in bruising. It was alleged that staff handled Resident #1 (R1) in a rough manner when transferring R1 to R1’s bed which resulted in bruising. Interviews conducted with staff and the Licensee revealed that staff are very careful when transferring R1 in and out of bed. The Licensee stated that she is not sure of the origins of R1’s bruises. The Licensee stated that staff reported the bruises to her. The Licensee believes that R1’s bruises could be cause by R1’s medication. The Licensee stated that she has tried to speak to R1’s physician regarding R1’s bruises and skin condition but R1’s representative did not disclose R1’s medical information to the Licensee. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Regarding the allegation: 2.) Staff did not provide adequate food service. It was alleged that the staff serve food that is of poor quality and of low nutrition value. During physical plant tours conducted on 12/28/2023 and 3/13/2024, the LPA observed sufficient amount of perishable and non-perishable food. The LPA observed sufficient number of fruits and vegetables being served to the residents. Resident interviews did not reveal any concerns regarding the food being served. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Regarding the allegation: 3.) Untrained staff. During the course of the investigation, the LPA conducted a record review of personnel records and found all files in order. The LPA observed training documentation showing required training completed. Additionally, on 5/22/2024, LPA Urena conducted an annual visit and reviewed personnel records including first aid/CPR training, and the appropriate training and found all files were in order. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Continued on LIC 9099-C. Regarding the allegation: 4.) Staff confined resident to their room. It was alleged that R1 is confined to R1’s room. Interviews conducted with staff and the Licensee revealed that R1’s family member/ representative visits R1 every day and stays in R1’s room. Staff stated that they listen to R1’s family member/ representative routine since they do not want issues with R1’s family member/ representative. Staff stated that R1 and other residents are not confined to their rooms as they request to be in the living area or outdoor areas. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Regarding the allegation:5.) Staff do not provide drinking water for resident. During physical plant tours conducted on 12/28/2023 and 3/13/2024, the LPA observed drinkable water available to the residents in care. Resident interviews did not reveal any concerns regarding the water. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Regarding the allegation:6.) Staff did not meet resident’s toileting needs. Resident interviews did not reveal any concerns regarding staff not meeting their toileting needs. Staff interviews revealed that staff change residents diapers every 2-3 hours or when needed. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Regarding the allegation: 7.) Staff did not provide resident with clean bed sheets. During physical plant tours conducted on 12/28/2023 and 3/13/2024, the LPA observed residents’ bedrooms with clean linens. Staff interviews revealed that staff wash residents bed sheets weekly or as needed. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.