complaint·September 14, 2020

***This is an amended version of the report dated 9/14/20. The reason for the correction is to add additional details. Facility did not maintain adequate staffing to meet resident's needs. Based on review of the timecards from July-August and LIC 500 Personnel Report, there are sufficient caregivers and Medtech staff to assist residents on any given shift. 3 staff were interviewed and 3 out of 3 staff indicated that there are 2 caregivers per shift plus a Med tech. The administrator stated that there are a total of 6 caregivers and 3 med-techs. 6 residents were interviewed and 4 out of 6 residents stated that there are enough staff to assist them if they need help. During the incident of resident #5 falls and injury on 7/7/20, the resident stated that she fainted in her room and someone called for help. The administrator stated that the resident was immediately helped by staff, administered first aid, and asked if she would like for them to call 911 but resident declined. Facility did not answer communications to the authorized representative promptly or appropriately. A total of 6 residents were interviewed. 5 out of 6 residents stated that the facility administrator communicates with their authorized representative promptly and appropriately, and issues are communicated to them in a timely manner. The administrator stated that when residents or family members call, he will call them back as soon as he receives the message. He stated that the facility uses a driver to transport residents to appointment twice a week and was unaware of resident not being picked up for an appointment. Upon review of the driver logs, it appears that resident #5 was not listed on 8/4/20. During the incident when police were called on 7/29/20, the administrator stated that he was not aware that the police were called until they arrived around 11:00 a.m. He stated that he informed the responsible party (RP) on the same day that the incident happened once he was made aware of the situation. A review of the call log provided by RP shows that the administrator called RP the same day to report the incident on 7/29/20 at 4:11 p.m. Facility did not provide authorized representative with proper notification of rate increases. Based upon review of the admissions agreement, it states that any rate increases will be communicated in writing 60 days in advance. Based on interviews with the administrator and RP, a rate increase notice was provided 60 days in advance. Based upon physical plant observation, interviews conducted, and documents reviewed, the findings indicate although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are Unsubstantiated. A telephonic exit interview was conducted with Mele Tongamoa-Liu. A hard copy of the report was emailed. Staff was instructed to sign the LIC 9099 reports and return to LPA.