Complaint·March 5, 2024

R1 did not inform the staff until the following day and refused to be assessed or go out to the hospital. LPA reviewed a note on file from staff confirming the information. R1 stated to have tripped over the cable of their own heating pad. It was not an item left by staff or placed by her bed by staff. R1 stated no paths were obstructed by the staff. Based on interviews, observations, and file review; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation "Facility staff speak inappropriately to resident" it was alleged a staff member spoke to R1 in an aggressive tone. (6) of (6) Staff interviewed denied the allegation. (9) of (10) Residents interviewed could not corroborate the allegation. Interview with R1 states that on 2/25/24 a staff member entered their room to provide their meal and spoke to them rudely. LPA was not provided with a name of the staff or what time of the day it occurred. Staff interviewed stated they have never spoken to residents in an aggressive tone or know of any staff to speak to residents in an aggressive tone. Residents interviewed stated that staff are very helpful and do not speak to residents inappropriately. LPA did not observe staff speaking to residents in any inappropriate manner throughout the visit. Based on interviews, observations, and file review; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation "Facility staff do not treat residents with respect and dignity" it was alleged that staff yell at residents and barge into their rooms. (6) of (6) Staff interviewed denied the allegation. (9) of (10) Residents interviewed could not corroborate the allegation. Interview with R1 states that on one occasion a staff member bringing meals to residents rooms, barged into R1's room rudely and has yelled at other residents of the facility. Interviews with other residents conducted stated they have not seen staff enter rooms without knocking and have not seen or heard staff yell at residents. Staff interviewed denied that they have or know of other staff to ever yell at residents. Interviews with staff stated that they will always knocked and introduce themselves when going to any residents room. LPA observed staff knocking and introducing themselves before going into residents room throughout the visit. Based on interviews, observations, and file review; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continued on LIC 9099-C In regards to the allegation "Facility staff did not safeguard resident's property" it was alleged that R1 had a plaque on the wall that is now missing. (6) of (6) Staff interviewed denied the allegation. (9) of (10) Residents interviewed could not corroborate the allegation. Detail provided was that there was a plaque with a copy of the Declaration of Independence inside it that passed down generations in R1's family that is now missing. Staff interviewed stated they have never seen a plaque of that description in R1's room. File review does not show a list of items that the facility would be responsible for, for R1. Residents interviewed stated they have not heard of anyone stealing items from residents in the facility. Based on interviews, observations, and file review; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit Interview conducted and copy of this report was provided.