complaint·February 25, 2022

LPA interviewed the Administrator and 5 Staff who all denied this allegation. They stated that resident(s) are transported to the doctor’s appointments and other places that are requested. Transportation is arranged and facility asks that the residents give advance notice. Regarding Resident #1 missing dialysis appointment, staff stated the resident has outside transportation services through Access. When the transportation did not show up, Staff arranged Uber service to take resident to the appointment. LPA interviewed 11 residents and majority stated the facility will provide transportation if requested, while 3 indicated that they do not leave the facility. Allegation – Staff denies visitation to residents. Per the Administrator, facility staff never denied visitation to residents even during this Coronavirus (COVID-19) pandemic. Staff understand it is residents’ personal rights to receive visitation, therefore, accommodations are made to allow visitors. Per Staff, the visitors are able to meet in the common area or outdoors. The residents interviewed did not have any issues regarding visitations. Their families or friends are able to come to the facility anytime. During the visit, LPA observed the daily symptom attestation form for visitors located in the front area and the form was filled out by visitors entering the facility. Allegation – Residents do not receive adequate meals. LPA toured the facility and observed the menu posted on the board. The residents have other options if they do not want the main course. LPA toured the kitchen and observed adequate amount of food. LPA obtained and reviewed the copies of the weekly menu for a month and appears that the facility is serving a variety of food to residents. 10 out of 11 residents interviewed like the food servings and feel that they received adequate meals. They also stated they can get more upon request. Allegation - Facility does not have planned recreational activities for residents . LPA observed a bulletin board with activities listed for the month. Per the Activity Director, they are having smaller groups for the activities to mitigate the spread of the Coronavirus. She holds exercises in the hallways for residents who are not able to go downstairs. She announces the activities over the intercom as well as go to their rooms to try encouraging them to join. Some of the residents stated the facility provide activities such as bingo, coloring, and movies, but they choose not to attend. Allegation - Facility is understaffed. The Administrator stated caregivers tend to residents right away. Residents have intercoms in their rooms to call for staff and staff do rounds to check on residents often. She does not feel the facility is understaffed at all and believes there is sufficient number of staff on each shift. None of the staff interviewed feel there is a shortage. 10 out of 11 residents feel there is adequate staffing at the facility. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with the Administrator. A copy of this report along with the appeal rights were provided.