complaint·November 21, 2024

Allegation: Resident sustained an injury while in care. The Complainant alleged that R1 sustained an injury to R1’s hand. Interviews with three (3) of 44 facility staff corroborate that there was an injury to R1’s hand. Staff #1 (S1) speculated the injury may have been caused when R1 slipped from R1’s wheelchair onto the floor. Interview with Staff#3 (S3) confirmed that R1 slid out of his chair during breakfast time at the dining room. LPA obtained a copy of the Special Incident Report (SIR) indicating the incident. Interviews with 13 of 134 residents did not identify any witnesses nor did they include any statements or information to corroborate the allegation. Therefore, the information obtained was insufficient to confirm or deny the allegation and is therefore deemed Unsubstantiated at this time. Allegation: Staff used inappropriate language toward resident. The Complainant alleged that Facility Staff had used language when speaking to R1 that would be considered insulting, offensive, and rude by a reasonable person. The language allegedly included profanity and raised voices. Interviews with 6 out of 44 staff members and 13 out of 134 residents of residents did not identify any witnesses nor did they include any statements or information to corroborate the allegation. The information obtained was insufficient to confirm or deny the allegation and is therefore deemed Unsubstantiated at this time. Allegation: Staff did not ensure that facility was maintained clean and free of pests. The Complainant alleged that when R1 was transferred to the memory care unit, R1 was placed in a bedroom that was visibly unclean and in need of repairs. The walls were described as having visible dried spit on them and the floor was patched with duct tape. There was also cockroach activity observed. R1 was moved to another bedroom due to a complaint by R1’s family member. Interviews with Staff 1 (S1) confirmed that they are aware of the pest situation in the facility. The facility has hired a pest control company, to work on the pest situation at the facility. LPA obtains proof of services from the pest control company that confirms the facility is actively working on the situation. Interviews with 13 residents revealed that the facility is successfully working on the pest issue and maintaining the facility clean and free of pets. Based on information obtained the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of this report signed and delivered .