complaint·July 1, 2021

Staff interviews revealed that visitor was not being asked to leave the facility but he left by his choice. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. In regards to the allegation: Facility is retaliating against resident for complaints filed on behalf of resident. Based on resident interview, Resident, victim, did not recall details regarding resident being retaliated by filing complaints. Three (3) out of four (4) residents stated they did not aware of anyone being retaliated for filing complaints. Two (2) out of four (4) staff denied any resident who was being retaliated because of filing complaints. Two (2) out of four (4) staff stated that they were not aware of any resident who was being retaliated due to filing complaints. Per the review of visitor review policy, it stated that it is preferrable to schedule appointments prior to visit. Visitor was able to visit and meet residents even no appointment was scheduled. Therefore, visitor who was unable to schedule appointment to visit residents was not related to retaliation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Administrator. A hard copy of the report were provided to Administrator.