complaint·October 4, 2023

Allegation: Staff are selling illicit drugs. To investigate this allegation LPAs conducted interviews with eleven (11) out of fourteen (14) residents and ten (10) out of fourteen residents denied ever witnessing facility staff selling illicit drugs. One (1) out of fourteen (14) residents informed LPAs that the facility staff sells illicit drugs. However, the resident never witnessed nor was able to provide a specific staff name. In addition, LPAs conducted Interviews with the Administrator, Resident Care Manager and three (3) staff members and all staff denied the above allegation. Therefore, based on interviews, LPAs did not have sufficient evidence to prove the allegation, and it’s UNSUBSTANTIATED at this time. Allegation: Residents in care are using illicit drugs. To investigate this allegation LPAs conducted interviews with eleven (11) out of fourteen (14) residents and ten (10) out of fourteen (14) residents denied ever using or witnessing other residents using illicit drugs. One (1) out of fourteen (14) residents informed LPAs that the facility residents use illicit drugs. However, the resident never witnessed nor was able to provide a specific resident name. In addition, LPAs conducted Interviews with the Administrator, Resident Care Manager and three (3) staff members and all staff denied witnessing residents using illicit drugs. LPAs were informed by the Administrator that due to weed being legal to use, the facility has one resident that uses weed in designated area only. Therefore, based on interviews, LPAs did not have sufficient evidence to prove the allegation, and it’s UNSUBSTANTIATED at this time. Allegation: Staff failed to seek timely medical treatment . To investigate this allegation LPAs conducted interviews with eleven (11) out of fourteen (14) residents informed LPAs that they feel very secured at this facility and that the staff always provides immediate assistance in case of an emergency. Moreover, LPAs conducted Interviews with the Administrator, Resident Care Manager and three (3) staff members and were informed that residents involved in any incident are assessed by the MedTech immediately to determine if 911 needs to be contacted. Therefore, based on interviews, LPAs did not have sufficient evidence to prove the allegation, and it’s UNSUBSTANTIATED at this time. Allegation: Staff did not provide proper food service to resident in care . To investigate this allegation, LPAs conducted interviews with eleven (11) out of fourteen (14) residents revealed that the facility provides three (3) meals and snacks in between every day. Moreover, LPAs were also informed that the staff will provide an extra meal upon request. During todays interview with R1, LPAs Continue on LIC9099-C witnessed a staff member bring lunch (soup, vegetables, toast, dessert, etc.) into R1's room. LPAs also witnessed R1 refused the lunch and requested the staff for the Peanut Butter and Jelly. Lastly, interviews with the Administrator, Resident Care Manager and three (3) staff members never had any concerns and that the staff will also customize food being served upon resident's request. Based on the information gathered during this visit, this allegation is deemed Unsubstantiated at this time. Allegation: Staff is verbally abusive to resident in care To investigate this allegation LPAs conducted interviews with eleven (11) out of fourteen (14) residents informed LPAs that they have not experienced or observed any facility staff to be verbally abusive to themselves or any other residents. Interviews of residents also revealed that they can always talk to staff without fear of retaliation or abuse. Several residents also indicated that facility staff are approachable, friendly, and nice. Moreover, LPAs conducted Interviews with the Administrator, Resident Care Manager and three (3) staff members and all staff denied the above allegation. LPAs were also informed that as soon as the staff observes resident being aggressive/combative/behavior episode, etc. they immediately call for help and change the staff member to avoid any complication. Therefore, based on interviews, LPAs did not have sufficient evidence to prove the allegation, and it’s UNSUBSTANTIATED at this time. Allegation : Staff did not safeguard resident's personal belongings During today's investigation, LPAs conducted interviews with eleven (11) out of fourteen (14) residents and ten (10) out of fourteen (14) residents expressed no concerns regarding this allegation. In addition, LPAs were informed that no personal belongings have been taken from them, and whatever was accidentally misplaced during the laundry, the resident received there belongings in a timely fashion. Moreover, interviews with R1 revealed that he/she observed one some of his/her clothes on another resident. However, R1 was unable to identify the resident nor provide specific items were missing. Lastly, interviews with the Administrator, Resident Care Manager and three (3) staff members revealed that a lot of times residents will misplace their belongings and find it later. Therefore, the allegation, resident's personal belongings were taken by staff, is deemed UNSUBSTANTIATED at this time. No Deficiencies cited during today's visit. Exit interview conducted and copy of this report signed and delivered.