complaint·June 29, 2021

On 5/3/21 a credible reporting party stated that they observed 6 residents in the MCU with no activities to do, no activity calendar was posted, and the MCU TV was still broken. On 6/23/21 LPA Pitz conducted staff and client interviews at 11:00 a.m. 3/3 residents interviewed on that date stated that there were little or no activities provided at the facility. The facility administrator, Wellness Coordinator, and Residential Care Director all confirmed that the facility's activity coordinator was laid off some time around June 2020. The only activity calendar that could be obtained during the visit was for April 2021; a calendar for June 2021 was subsequently provided via email. On 6/29/21 at 11:00 a.m. 7/7 residents interviewed stated there were little to no activities provided at the facility, and LPA observed the facility to not be adhering to the scheduled activity for that time (Coloring at 10:30). LPA asked to see the coloring materials and was shown one box of crayons with some coloring book pages, staff stated it had not been provided as an activity today. LPA observed the MCU TV to still be broken. Allegation #2, that " Staff isolates residents" has been substantiated based on the information provided by a credible reporting party as well as the client interviews conducted and incident reports reviewed. On 2/12/21 a credible reporting party identified three residents experiencing suicidal thoughts. On 5/3/21 a credible reporting party stated that 6 residents expressed thoughts of loneliness and isolation, and reported two suicide attempts at the facility within the last year. On 6/23/21 at 11:00 am LPA interviewed residents and 3/3 expressed feelings of loneliness, isolation and depression. On 6/29/21 at 11:00 a.m. LPA conducted a review of facility incident reports and interviewed 7 residents. 7/7 Residents interviewed expressed feelings of loneliness, isolation, or depression. LPA confirmed that on 4/26/20 and 5/9/21 two different residents attempted to commit suicide, LPA was able to interview one of them and confirmed that this was due to feelings of isolation and depression. Report reviewed, signed and delivered. Exit interview conducted, deficiencies cited on 9099-D page, appeal rights given.