Complaint·August 23, 2023

provided in the hallways. During the investigation LPA observed the facility emergency kit storing a sufficient quantity of multiple lighting devices, portable floor and handheld flashlights, LED push lights, motion sensor lights and extra batteries. Based on observations, and interviews there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. #2. Facility staff are not properly assisting resident during meal periods. It is alleged that resident #1 (R1) is falling asleep during meals. To investigate the above allegation LPA conducted interviews with the Administrator and staff at approximately 12:03pm. Additional staff and resident interviews were conducted between 1:49pm to 3:00pm. Interviews with staff confirm they provide standby assistance by standing or sitting with residents, some can feed their self but may require prompts to remind them to eat. During the investigation, LPA observed three (03) residents that require standby assistance for meals seated at one table. One (01) staff member was seated at the table queuing and assisting residents during mealtime. Two (02) out of (03) residents were observed being prompted by staff to eat and staff performed assistance with feeding to (01) out of (03) residents. Based on observations, and interviews there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. #3. Resident sustained injuries due to staff neglect. It is alleged that resident #1 (R1) showed signs of "two big bruises on their forehead." To investigate the above allegation LPA conducted interviews with the Administrator and staff at approximately 12:03pm. Additional staff and resident interviews were conducted between 1:49pm to 3:00pm. Continued on LIC9099C. Interviews with staff affirm that R1 is confused and disoriented at times and wanders at night and has difficulty sleeping during the night, but had not experienced any falls or injuries. At the time of the investigation LPA observed R1s physician report that identifies they are confused/disoriented and has wandering and sundowning behavior. Based on observations, and interviews, and record review there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. No health and safety hazards are noted during this visit. No deficiencies cited. Exit interview conducted and copy of report and appeal rights issued.