complaint·December 21, 2021

Allegation: Staff are not wearing PPE. Interviews with an Administrator and 2 out of 2 staff indicated that staff always wears their mask, with an exception, when R3 is being assisted by a staff, staff usually don’t wear the mask because R3 is afraid of the mask and gets agitated. Interviews with 2 out of 3 residents, who were able to communicate, also indicated that staff always wearing mask. During today’s visit, LPA observed staff member wearing their face mask and following facility Mitigation Plan (RE: COVID). Allegation: Staff are not allowing visitors in the facility. Interviews with an Administrator and 2 out of 2 staff indicated that aside from requiring proof of vaccination the facility allows visitations with no other restrictions. Interview with 1 out of 3 residents indicated that the facility always allows family to visit (at any time), but due to Government restrictions family doesn't visit as often as they used to. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that alleged violations did or did not occur, therefore the above two allegations are unsubstantiated. No deficiencies issued. Exit interview conducted, and a copy of this report was given to the Administrator.