complaint·November 6, 2024

Interviews with seven (07) out of seven (07) residents revealed no occurrences of physical abuse or rough handling by staff. Interviews with staff and the administrator revealed no staff handle residents roughly or abuse residents. During a facility tour today, LPA observed staff handling residents gently and with respect. Based on interviews and observations, there was no evidence corroborating the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff steal residents’ medications" it was alleged staff steal bottles of resident medication. Interviews with seven (07) out of seven (07) residents revealed no occurrences of missing or stolen medications. Residents confirmed they receive all medications in the right doses. Interviews with staff and the administrator revealed no staff steal medications and no residents are missing any medications. Medication review revealed three (03) out of three (03) residents’ medications were accounted for. None were missing or stolen. Based on medication review and interviews, staff do not steal residents’ medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff steal residents money" it was alleged staff members steal residents’ monthly income. Interviews with seven (07) out of seven (07) residents revealed no occurrences of stolen or missing money. Residents interviewed who receive P&I money had no problems with accessing their money. Interviews with staff revealed no reports of staff stealing resident money. Interview with the administrator revealed all resident money is recorded on the internal P&I ledger. Review of P&I ledgers today at 2:00 p.m. revealed resident money was accounted for and none was missing or stolen. Based on record review and interviews, staff do not steal residents’ money. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff sexually abused residents in care" it was alleged that S1 sexually abused Resident #1 (R1) and Resident #2 (R2). Record review of the resident list revealed R1 and R2 were not currently residents. Interview with S1 revealed they have never abused R1 or R2 and had good relationships with both. R1 and R2 were all unavailable for interviews. Interviews with seven (07) out of seven (07) residents revealed no occurrences of sexual abuse by staff. Residents interviewed stated staff were fine. Interviews with staff and the administrator revealed no evidence of sexual abuse. Based on interviews, no residents were sexually abused by staff. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff retain residents with prohibited health conditions" it was alleged the facility retained residents with severe pressure injuries. Interview with the administrator revealed no residents have prohibited health conditions. There is currently one (01) resident, Resident #3 (R3) with a Stage 1 pressure injury, which is a restricted but allowable condition in this facility. Record review confirmed a wound care specialist was seeing the R3 on a weekly basis and providing proper and adequate care for the wound. Interviews with seven (07) other residents revealed no issues with pressure injuries. Based on record review and interviews, the facility does not retain residents with prohibited conditions. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety hazards were observed during today's visit. Exit interview conducted. Copy of report provided.