complaint·September 13, 2021

It was also communicated that staff understand that the aggressive behavior is a result of the dementia diagnosis and is not perceived as a personal attack, and that understanding is reinforced in training and in understanding the varied needs of the residents in the community. In general, it was communicated that the community did its best to foster a safe environment. Based on the information obtained, there is insufficient evidence to support the claim that the facility does not provide a safe environment. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Facility staff lack training It was alleged that staff were not properly trained. During today’s visit, the LPA conducted a file review from 11:00 a.m. – 11:45 a.m., and reviewed ten staff files, all of which were randomly selected. The file review revealed that the direct care staff had, at minimum, twenty hours of training within the past twelve months. The training included the required eight hours of dementia care training and the four hours of training which were specific to postural supports, hospice care, and restricted health conditions. File reviews also revealed that staff may complete a competency quiz to test the comprehension and understanding of the training topic(s). Said quizzes are not required by regulation. Staff interviews revealed that staff felt properly trained to perform their job duties and expressed that staff felt equipped to manage aggressive behaviors. Based on the investigation, there is insufficient evidence to support the claim that facility staff lack training. This allegation is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. A copy of the report was issued.