complaint·October 12, 2021

***This report serves as an amendment and supersedes the original complaint investigation report created on 10/12/2021. The finding remains Unsubstantiated. *** The investigation revealed the following: During visit on 10/06/2021, the facility has fifty four (54) residents. Eleven (11) residents are dependence and need full care services. Forty-three (43) residents are independence. LPA Tao reviewed staff roster, it reported the facility has eight (8) caregivers and four (4) caregivers/Med Tech to provide cares to residents. A total of twelve (12) caregivers. Facility has one (1) Family specialist, one (1) Activity Director, one (1) Certified Dietitian, one (1) Head Chief, one (1) Wellness Director, one (1) Activity staff/ receptionist, one (1) Maintenance Director, three (3) kitchen staff, two (2) food servers, and two (2) housekeepers. Per resident interviews, nine (9) out of thirteen (13) residents stated they received sufficient care from staff to take care of their daily needs. Three (3) out of thirteen (13) residents stated that at times, staff would take more than 10 minutes to assist residents who requested staff assistance; however, interviews with residents, indicated that staff were still able to meet the residents' care needs . One (1) out of thirteen (13) residents was unable to answer questions. Staff and Administrator interviews revealed residents' needs were met and staffing was sufficient. During the facility tour, LPA observed staff would respond to resident via intercom within a minute and would come to resident's room in about 10 minutes when they were called in the signal system. Based upon observations, record reviews and interviews conducted, there is not a preponderance of evidence to prove the facility has insufficient staffing. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and finding was discussed. A copy of this report was provided.