complaint·March 11, 2025

Interviews with staff revealed residents have not complaint of loosing any personal items recently. During the facility’s tour LPA observed one of the three items allegedly stolen in the resident’s bedroom. Per documents the stolen and not observed items were not listed on the resident's personal and property and valuables. Per physician's report R1 is responsible for own cash resources. Assistant administrator last updated personal item list on 8/20/24. Per admission agreement facility is not responsible for items lost unless the personal inventory form was updated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Regarding allegation: Staff do not provide resident with a comfortable environment. It is alleged resident screams and plays the television loud which bothers other residents. Interviews conducted with residents revealed 4 out of 10 residents stated that there are no loud noises heard at the facility, 4 out of 10 residents were unable to provide information due to cognitive skills and 2 out of 10 residents stated that have heard loud noises that do not allow them to sleep or disturb them. Interviews conducted with staff revealed 9 out of 10 staff stated residents have not complaint about hearing loud noises at the facility and have not observed residents screaming or been loud. One (1) out of ten (10) staff stated to have heard a resident yelling at the facility which can be disturbing to others. Administrator stated that once the concern of the noise was brought up, the staff looked into it. However, the resident being accused of creating the noise cannot increase the volume in the TV on their own due to their physical/cognitive skills and does not have a behavior of scream. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding allegation: Staff do not answer resident’s call button in a timely manner. It is alleged staff assist resident an hour after call light has been pressed. Interviews conducted with residents revealed 5 out of 10 residents stated staff are prompt and available to assist in a short amount of time, 4 out of 10 residents were unable to provide answers due to their cognitive skills and 1 out of 10 residents stated that staff take over an hour to provide assistance with personal care. Interviews with staff revealed staff respond promptly to residents call light button. If staff are busy with other residents providing showers or bathroom assistance, staff notify the front desk via radio and another staff steps in at that time. (CONTINUED ON LIC 9099C) Per administrator the wait time is no more than 5 minutes to respond to a call light. During the facility’s tour LPA tested three call buttons and each was responded within less than 5 minutes. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Virginia Garcia and a copy of this report was provided.