complaint·February 15, 2022

Investigation revealed the following: Regarding allegation, Facility is not allowing visitors for a resident , it is alleged that the facility has not allowed R1 to receive visits from a former resident, who is a friend, for the last 4 months. 7 out of 7 residents that were interviewed stated that they receive visits. 1 of 7 residents stated that they do not care for visits from their former friend and stated that they do receive visits from family and friends. 6 out of 6 staff that were interviewed stated that facility residents are allowed visits and that visitors just have to go through COVID-19 visitation guidelines and screening procedures that are set in place to mitigate the spread of COVID-19. Interview with Executive Director Pamela Parsons revealed that there was a potential visitor for R1 that was denied entrance into the facility due to aggressive behavior and due to safety concerns for R1 and all facility residents. She stated that the police department had to be called due to the individual's aggressive behavior. She stated that visitors are allowed as long as they go through the screening processes that are currently set in place to mitigate the spread of COVID-19. LPA observed visitors being screened and coming in to visit residents during time of visit. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported allegation. For allegation, Facility staff failed to meet the resident's needs , it is alleged that facility staff did not assist a facility resident when the resident was screaming for assistance due to resident feeling cold during the winter. Facility resident allegedly left screaming for help for over 20 minutes and staff stated that they were understaffed. Interviews conducted with Executive Director Pamela Parsons and S1-6 revealed that facility residents are never left unattended for extended periods of time. They stated that staff constantly check in on residents to see if they need help or need anything. S1-6 stated that they check on residents every 2 hours or as needed if assistance is requested by a resident. Executive Director Parsons and S1-6 denied that any facility resident was left screaming for over 20 minutes. They also stated that facility temperature is keep at appropriate temperatures during the different seasons and temperature is adjusted as needed. Interviews conducted with S1-6 revealed that residents are properly cared for at all times. Interviews conducted with R1-6 revealed that they are satisfied with the services provided at the facility and stated that their needs are met. R1 stated that staff are very helpful and provide good care and they are very satisfied with the services that they receive. LPA toured R1's room and observed room temperature to be adequate as well as temperature throughout the facility which included the lobby area, activity room and dining room. LPA also observed proper bedding and blankets in R1's room. Based on LPA observations, and statements gathered from interviews conducted with staff and residents there was not enough supportive evidence to concur with the reported allegation. For allegation, Facility staff failed to safeguard resident's personal belongings , it is alleged that someone stole several valuable items that were given as a gift to R1 from their room at night. The gifted items were allegedly a ring worth $1900, a bible, a DVD player and a CD player and someone stole everything from the resident’s room at night. Interviews conducted with Executive Director Pamela Parsons and S1-6 revealed that if a resident reports any missing items, facility staff will assist the resident with trying to locate the item. They stated that most of the time items are located in the residents rooms and the items had just been misplaced. Executive Director Parsons denied that R1 had such items taken from their room. R1's FM1-2 denied that R1 had such items missing and stated that they are satisfied with the services that R1 is receiving at the facility. They stated that R1 had a few clothing items missing but that they were found in the laundry room. Interviews conducted with R1-6 revealed that they are satisfied with the services provided at the facility and stated that they have not had any of their personal belongings taken from their rooms. R1 stated that they are not missing a ring, DVD player, bible or a CD player. LPA reviewed R1's list of Personal Property and Valuables and did not observed the mentioned items on the list of items. Based on LPA review of documents, and statements gathered from interviews conducted with staff and residents there was not enough supportive evidence to concur with the reported allegation. For allegation, Facility staff failed to provide activities for resident in care , it is alleged that facility staff isolated R1 in their room and did not provide any activities for resident. Interviews conducted with Executive Director Pamela Parsons and S1-6 revealed that facility residents are provided daily activities. They stated that R1 enjoys playing Bingo, listening to music and crotchet. R1-6 stated that the facility does provide daily activities. R1 stated that they love playing bingo. S1 stated that R1 is a regular activity attendee as well as many facility residents. S1 stated that the activity schedule is full of activities to keep the residents busy and entertained throughout the day. Interviews conducted with R1-6 revealed that they are satisfied with the actiivities that the facility provides and stated that they have fun. LPA toured Facility Activity Room and observed residents participating in an activity. LPA observed R1 participating in the activity and also observed facility staff encouraging residents to participate in scheduled activities. LPA reviewed Facility Activity Schedule and observed that the facility provides activities for the residents throughout the day on a daily basis. Based on LPA observations, review of documents and statements gathered from interviews conducted with staff and residents there was not enough supportive evidence to concur with the reported allegation. 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 . Exit interview held. A copy of the report was provided to Executive Director Pamela Parsons.