Complaint·May 7, 2023

During interviews with staff, all staff stated that they are not aware of any reports of missing belongings. During interviews with residents, all residents stated that they are not missing any belongings. During interviews with other parties, they stated that they do not wish to disclose the name of the resident or share any other details at this time. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Staff left a resident soiled for extended periods of time while in care. It was alleged that diaper on resident was not being changed frequently, poop was falling out and not cleaned for multiple days. To investigate the allegation, on 02/22/2023, LPA conducted physical plant tour at around 10:00 AM, interviewed four (04) staff between 10:45 AM to 11:30 AM and on 05/07/2023, LPA interviewed six residents from 11:00 AM – 12:30 PM and other parties from 1:00 – 1:30 PM. During the physical plant tour, LPA did not observe any soiled residents, soiled beds and did not experience any malodor. During interviews with staff, Staff #2 (S2) stated that residents are checked on every two hours for incontinent care and residents are not left soiled for an extended time. During interviews with residents, all residents stated that they are checked on frequently and are not left soiled for an extended time. During interviews with other parties, they stated that they do not wish to disclose the name of the resident or share any other details at this time. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Resident sustained an injury from a fall while in care. It was alleged that resident fell and had bruise on right arm. To investigate the allegation, on 02/22/2023, LPA requested documents at 10:45 AM, interviewed four (04) staff between 10:45 AM to 11:30 AM and on 05/07/2023, LPA interviewed six residents from 11:00 AM – 12:30 PM and other parties from 1:00 – 1:30 PM. The facility’s Internal Incident Report log and the Department’s Incident Reports do not show incidents related to a fall that resulted in a bruise on right arm. (CONT. LIC9099-C) During interviews with staff, Staff #1 (S1) stated that facility has had fall incidents, but no one has complained to S1 as of late. Staff #2 (S2) stated that they are not aware of any fall complaints and that falling is something the facility tries their best to mitigate and as residents age, they develop an unsteady gait and are generally prone to injury from falling. S2 also stated that facility can’t restrain residents or violate their rights, however, facility does take measures to mitigate injuries from falls like bedside mats, assisting with transferring and transitioning, etc. During interviews with residents, all residents stated that they are not aware of any falls or anyone complaining about falling. During interviews with other parties, they stated that they do not wish to disclose the name of the resident or share any other details at this time. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Facility has insufficient staffing. It was alleged that there is a lack of staff at facility. To investigate the allegation, on 02/22/2023, LPA conducted a physical plant tour at around 10:00 AM, requested documents at 10:45 AM and interviewed four (04) staff between 10:45 AM to 11:30 AM. On 05/07/2023, LPA interviewed six residents from 11:00 AM – 12:30 PM and other parties from 1:00 – 1:30 PM. During the physical plant tour, LPA observed three (03) care staff in Assisted Living and three (03) care staff in Memory Care. The facility's Personnel Report shows there are at least three (03) care staff on duty during all shifts in Assisted Living providing care for fifty-three (53) residents and at least three (03) care staff on duty during all shifts in Memory Care providing care to twenty-three (23) residents. During interviews with staff, Staff #1 and Staff #3 (S1 and S3) stated facility tries to keep at least three (03) caregivers in Assisted Living along with one (01) MedTech to assist when needed and the same number of caregivers for Memory Care. Staff #2 (S2) stated they need more care staff, and facility is always hiring, but are still able to meet residents’ needs. Staff #3 (S3) also stated that they are all a team and, if needed, administration workers will lend a hand. Staff #4 (S4) stated they do not feel facility is short staffed. During interviews with residents, all residents stated staff respond to their needs timely and feel there are enough care staff available. During interviews with residents, all residents stated staff respond to their needs timely and feel there are enough care staff available. (CONT. LIC9099-C) During interviews with other parties, they stated that they do not wish to disclose the name of the resident or share any other details at this time. Based on record review and 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.