complaint·April 14, 2022

The investigation revealed the following: Regarding the allegations of Staff handled a resident inappropriately and Staff locked a resident in the patio. It was reported that Resident 1 (R1) observed Staff 3 (S3) and Staff 1 (S1) threaten to lock Resident 2 (R2) in the patio if R2 refused to shower. It was also reported that R1 also observed S3 lock R1 out, causing S1 to argue with S3 regarding S1’s actions. R2 began to bang on the door at which time S3 unlocked the door. During the investigation interviews were conducted with R1, R2, S1 and S3. When interviewed R1 could not confirm if such an incident occurred, R2 denied he was locked in the patio. S3 denied locking R2 or any other resident in the patio and S1 denied witnessing R2 being locked in the patio by the S3 or any other facility staff. Based on the information obtained the allegation is Unsubstantiated at this time. Regarding the allegation of Staff did not intervene during resident to resident conflict. It was reported that sometime in December 2020 there was an incident with Resident 3 (R3) yelled at Resident 1 (R1) because R3 wanted to use the phone when it was being used by R1. It was also reported that R3 walked aggressively towards R1 and grabbed the phone from him which was observed by the S3. During the investigation interviews were held with the S3, R1 and R3. When interviewed R1 could not recall such an incident occurred but did state that R3 tries to restrict him from using the facility phone, however when interviewed R3 denied such an incident occurred and denied bothering/restricting anyone from using the facility phone. S3 also denied witnessing such an incident. Based on the information obtained the allegation is Unsubstantiated at this time . Regarding the allegation of Staff do not safeguard table setting for residents in dining room it was reported that staff allow other residents to remove the utensils from the table which prevents R1 from sitting at his usual table. During the investigation interviews were conducted with the facility administrator, staff, R1 and other facility residents. When interviewed R1 was questioning why he is unable to sit at his usual table during dinner. According to the administrator other residents do not want to dine or interact with R1 due to his hygiene and the staff cannot force the residents to do so. Other residents interviewed did not report concerns about not having utensils or having any problems with the dining. Based on the information obtained the allegation is Unsubstantiated at this time. Continue 9099C Regarding the allegation of Staff are interfering with resident phone calls it was reported that facility administrator angrily held a discussion with R1 about his phone use and that facility residents are limited now to 5 minutes on the phone. During the investigation interviews were conducted with the administrator, staff, R1 and other facility residents. When interviewed administrator denied speaking with R1 angrily about phone use or at any time. Administrator and all staff denied interfering with resident phone calls or allowing residents only 5 minutes to use the phone. When interviewed all residents except R1 denied staff interfering with their phone calls or only being allowed to use the phone for 5 minutes or any specific minutes. Based on the information obtained the allegation is Unsubstantiated at this time. 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. Exit interview held and a copy of the report was provided to Administrator.