complaint·April 22, 2022

***This licensing report supersedes the original complaint investigation report, dated 02/14/22. The findings remain as Unsubstantiated. *** In regard to allegation "Facility staff left resident on the floor for an extended period of time," it was alleged that R1 fell off the bed and was on the floor for an hour. Seven (7) out of seven (7) residents could not corroborate the allegation. Residents had no knowledge of the incident. Per R1's interview, R1 denied that R1 fell off the bed and left on the floor for an hour. Five (5) out of five (5) staff were not aware of the incident of the allegation. Staff interviews revealed no residents were left on the floor for an extended period of time. File review did not reveal incident happened on R1 related to the allegation. LPA did not observe residents fell off the bed and left on the floor for an extended period of time during the visit. In regard to allegation "Facility staff do not allow residents to have visitors", it was alleged that facility staff did not allow resident #1 to have visitor#1 (V1), who was a former resident. Seven (7) out of seven (7) residents could not corroborate the allegation. Resident interviews revealed that five (5) out of seven (7) residents stated they have staff allow visitors who come for visits. Two (2) out of seven (7) residents stated their visitors may meet residents in the outdoor visiting area, due to the visitors being unvaccinated or not providing staff with proof of a recent PCR test with negative results. Five (5) out of five (5) staff denied the allegation. Per LPA’s interviews with Administrator Pamela Parsons, Administrator reported that R1’s family member, who has power of attorney (POA), provided Administrator with a letter dated 07/16/21, requesting that the facility not allow visitor #1 (V1) to visit with R1. Administrator informed LPA Tao that the Administrator was complying with POA’s letter and did not allow V1 to visit with R1 on 10/20/21. Per staff interview, staff notified R1 and asked R1 whether R1 wishes V1 to visit on 10/20/21. R1 did not want V1 to visit R1. V1 acted aggressively at the entrance and, therefore, Administrator called local law enforcement due to V1 behavior. Law enforcement arrived at the facility and did not arrest V1. Instead, law enforcement escorted V1 off the premises. Per LPA’s interview with R1, R1 informed LPA that R1 does not feel comfortable when V1 visits. Interviews with Administrator and R1’s POA confirmed that the facility did not have a court ordered restraining order in place to deny V1’s visits. LPA's review of R1s letter dated 01/18/22, indicates R1 does not wish V1 to visit R1 at the facility, however, the letter is prior to the 10/20/21 incident. (-continued in LIC 9099 C-) LPA's review of facility’s unusual incident report dated 10/20/21, indicated that V1 went to the facility to visit with R1 and was met outside the facility by Administrator Parsons, who informed V1 that the facility was a private property and R1’s P.O.A. had instructed the facility to not allow visit from V1. Therefore, the investigation revealed that R1’s personal right to have visitors was not violated. Although the allegations may have happened or is 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 and a hard copy was provided.