Complaint·November 15, 2023

During interviews with staff, all staff stated they have never restrained a resident or witnessed any staff restrain a resident. During interviews with residents, all residents stated that they have never been restrained or witnessed others being restrained. Based on observations and interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility does not have adequate supervision. It was alleged that residents that require supervision wander the neighborhood. To investigate the allegation on 05/20/2021, LPA Alex Pitz interviewed staff. On 11/15/2023, LPA Duguma made observations during the physical plant tour and interviewed three (03) staff from 12:00 PM - 1:00 PM. During the physical plant tour, LPA observed delayed egress doors at every exit in working order. During interviews with staff, all staff stated that there are some residents that are very independent and can leave the facility and return without any need for supervision. Staff added that the facility is equipped with delayed egress doors to notify staff when residents are attempting to leave the building and they do not recall any wandering incidents around the time in question. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility failed to provide timely medical attention. It was alleged that a resident had fallen out of their wheelchair outdoors and was left without assistance for an extended time. To investigate the allegation on 11/15/2023, LPA interviewed three (03) staff from 11:00 AM - 12:00 PM and six (06) residents from 1:00 PM – 2:30 PM. During interviews with staff, all staff stated they have never experienced a situation where a resident fell out of their wheelchair and was unassisted for an extended time. During interviews with residents, all residents stated they have never witnessed anyone left on the floor without assistance after falling out of their wheelchair and have never experienced that for themselves. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report was issued.