complaint·September 20, 2022

Allegation: Residents are falling due to the facility being short staffed. Interviewed staff indicated that there are (3) caregivers, (1) med tech and (1) licensed vocational nurse on staff on weekends. Staff interviews revealed that this facility utilizes (2) different staffing agencies and the staffing ratio remains the same in combination with the staffing agencies staff during the weekend. (2) out of the (5) interviewed staff indicated this facility has been recruiting for new staff, however, people who apply do not want to work on weekends. Staff will continue to recruit for new staff and utilize staffing agencies to provide staffing coverage. Interviewed staff indicated that recently there has not been resident falls on the weekends. LPA obtained a copy of the staff schedule (including staffing agency sign-in sheets). Interviewed residents indicated they have not witnessed residents falling on the weekends. Interviewed residents indicated they see staff conducting rounds daily (including the weekend). Staff and resident interviews do not corroborate this allegation. Allegation: Staff are locking resident in her room. Interviewed staff indicated residents are not locked in their room. Staff interviews revealed that residents are placed in quarantine when ordered by a physician due to a medical condition such as scabies or COVID-19+ cases. Staff interviewed revealed that R-3 and R-6 were recently placed under quarantine for (1) week and were given a (1) time treatment. Both R-3 and R-6 have their own private rooms. Resident interviews revealed that staff do not lock them inside their room or in any room at this facility. Staff and resident interviews do not corroborate this allegation. Allegation: Staff are not providing resident with her personal incidental money (P&I) Interviewed staff indicated S-1 handles the personal incidental money for residents. Per S-1, there are (5) residents that receive P&I in the beginning to each month. Per S-1, some of the P&I (at times) arrives a couple of days late and residents become upset when the money is not available. Per S-1, the P&I received is logged in and disbursed to the resident upon the residents’ request. (1) of (6) interviewed residents indicated they receive their P&I late. Staff and resident interviews do not corroborate this allegation. Refer to LIC 9099C for the continuation of this report. Allegation: Staff are not providing activities for residents. Interviewed staff indicated this facility has an Activity Director (S-2) that provides social activities for residents. Per staff interviews, social activities are provided daily (inside facility and outings) which consist of arts and crafts, exercise, dances, games, bingo, live entertainment every Friday, music therapy, gardening therapy, pet therapy and so forth. Per staff interviews, outings consist of going out for lunch at restaurants, shopping centers and some short day trips. Per staff interviews, residents are encouraged to participate (participation is voluntary). LPA obtained a copy of the monthly Newsletter which includes the monthly social activity calendar. LPA also observed the monthly social activity calendar posted. Interviewed residents indicated this facility provides social activities including outings. Staff and resident interviews do not corroborate this allegation. Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Exit interview conducted, appeal rights and a copy of this report was provided to Narine Mertkhanyan