complaint·October 2, 2024

the allegation is UNSUBSTANTIATED at this time. It was alleged that facility staff did not provide adequate food service to a resident in care. It was reported that facility does not provide snacks to R1, in between meals. To investigate this allegation on 10/02/2024, between 11:45am and 1:00pm, staff interviews were initiated. Interviews revealed that facility does provide snacks to all residents in care. At 2:30pm, LPA observed staff pushing a cart and offering snacks to residents. Based on interviews and observation, there is not sufficient information to support this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was reported that facility is operating without a certified administrator. To investigate this allegation on 10/02/2024, between 11:45am and 1:00pm, staff interviews were initiated. Interviews revealed that the facility has always had a certified administrator, but acknowledged that there having been changes in staffing. This year the facility has had four different administrators. Between 1:00pm and 2:00pm, LPA requested and reviewed facility records. Records confirmed what staff told LPA. Based on interviews and records review there is not sufficient information to support this allegation. Thus, the allegation is UNSUBSTANTIATED at this time. It was alleged that staff did not ensure that residents are provided activities while in care. To investigate this allegation on 10/02/2024, between 11:45am and 1:00pm, staff interviews were initiated. Interviews revealed that facility does provide activities for residents in care. In fact, the facility has two activity directors. Between 1:00pm and 2:00pm, LPA requested and reviewed facility records. Records confirmed what staff told LPA. In addition, LPA observed the activities calendar for month inside the arts and crafts room. Based on interviews, records review, and observation, there is not sufficient information to support this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was reported that staff did not prevent Resident #2 (R2) from engaging in a physical altercation with R1. R2 pushed hard R1, causing them to fall and hit their head. To investigate this allegation on 10/02/2024, between 11:45am and 1:00pm, LPA initiated staff interviews. Interviews revealed that staff immediately had R1 accessed and transported to the hospital for further evaluation. Staff also notified R1's responsible party of the incident. R2 was placed on a 5150 and assured everyone that they would not be returning to the community, due to being a danger to others. Staff told LPA that R2 had been placed on 5150 several times and would return to the community after 72 hours. After this incident, facility refused to accept back R2, due to a series of violent incidents. Between 1:00pm and 2:00pm, LPA reviewed incident reports and confirmed what staff had told LPA. Based on interviews and records review, there is not sufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued. R2 pushed hard R1, causing them to fall and hit their head. To investigate this allegation on 10/02/2024, between 11:45am and 1:00pm, LPA initiated staff interviews. Interviews revealed that staff immediately had R1 accessed and transported to the hospital for further evaluation. Staff also notified R1's responsible party of the incident. R2 was placed on a 5150 and assured everyone that they would not be returning to the community, due to being a danger to others. Staff told LPA that R2 had been placed on 5150 several times and would return to the community after 72 hours. After this incident, facility refused to accept back R2, due to a series of violent incidents. Between 1:00pm and 2:00pm, LPA reviewed incident reports and confirmed what staff had told LPA. Based on interviews and records review, there is not sufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued.