Complaint·October 1, 2024

It is alleged that, due to a shortage of facility staffing, residents are wandering, without permission, into other resident bedrooms. To investigate the allegation, LPA conducted a records review of the facility's current monthly work schedule, and work schedules for the months of March, 2023,and September, 2023; dates in which the reporting party (RP) states the alleged incident occurred. Based on LPA's review, the facility work schedules suggests the licensee provides sufficient staff coverage during all shifts to prohibit intrusion of unwanted/unauthorized persons into into resident bedrooms. LPA interviews with residents revealed the following: Seven (7) out of seven (7) residents state that staffing is sufficient; they feel safe living at the facility, and have no concerns regarding the safeguarding of their personal items kept in resident bedrooms. LPA interview with staff revealed the following: Four (4) out of four (4) staff state that facility ensures sufficient staffing during all work shifts to keep residents safe, and prohibit unwanted intrusion into resident bedrooms. Based on LPA's observations, records review, and interviews with residents and staff,the allegation is UNSUBSTANTIATED at this time. Allegation: Staff did not provide adequate food service to residents- It is alleged that as a result, resident#1 (R1) did not have breakfast, due to lack of staffing. To investigate the allegation, LPA conducted a records review of the facility's current monthly work schedule, and the work schedule for the month of March, 2023; dates in which the RP stated the alleged incidents occurred. A review of the facility's work schedule reveals that the facility maintains a sufficient number of staff personnel on all shifts to provide food service for all residents. LPA interviewed seven residents who stated the following: Seven (7) out of seven (7) residents were complimentary of staff, reporting they are well informed of mealtimes and the menu of food items provided. Residents reported that meals were satisfactory and that staff consistently provide alternative meals in the event that a resident misses an opportunity to eat during a specified meal time. Residents reported that meals were satisfactory and that staff consistently provide alternative meals in the event that a resident misses an opportunity to eat during a specified meal time. LPA interviews with staff revealed the following: Four (4) out of four (4) staff states consistency in ensuring all residents are provided food service, and that alternatives are provided when residents miss scheduled mealtimes. Based on LPA's observations, records review, and interviews with residents and staff, the allegation is UNSUBSTANTIATED at this time. An Exit interview was conducted, and report was provided to the Administrator.