Inspector’s narrative
What the inspector wrote
During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they do not recall having a fall incident on the way to the toilet and staff assist them to the toilet as needed. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that they do not recall a fall incident with R1. S1 also stated that they stand next to and hold residents that need assistance all the way to the toilet seat and wait with them until finished to return them back to their resting position of choice safely. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Staff is harassing resident.
It was alleged that Staff (S1) harassed Resident #1 (R1). To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have never been harassed or mistreated by any staff. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and Staff #2 (S2) stated that they have never harassed or mistreated any of the residents and that their relationships with the residents are very good. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Staff used resident’s personal phone
It was alleged that Staff (S1) uses Resident #1’s (R1) cell phone. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have their own cell phones and staff have never used or asked to use their cell phones. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, and Staff #2 (S2) stated that they have their own cell phones and have never used a resident’s phone to make a call or for any other use. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
(CONT. on LIC 9099-C)
--- Staff did not provide appropriate bathroom assistance to the resident.
It was alleged that Staff (S1) did not help resident to the bathroom in an appropriate position. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff assist them to the toilet as needed safely with enough assistance and support. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that if residents are walking backward into the restroom with a walker, they stand behind supporting them, but if they are walking forward then they enter first and guide them supporting them. S1 also stated that if they are walking without the walker, they can walk them in while supporting them side by side. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Staff was recording resident without consent.
It was alleged that Staff (S1) was recording residents. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff have never recorded them. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they have never recorded any of their residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Resident was not allow to eat isolated in the room during mealtime.
It was alleged that Staff (S1) instructed resident to eat in the room. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not force them to eat in their rooms and that they have the choice to decide where they eat. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7).
(CONT. on LIC 9099-C)
During interviews with staff, S1 and S2 stated that they do not force residents to eat in their rooms. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Resident was not allowed to eat around a table
It was alleged that Staff (S1) did not allow resident to eat at the table. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not tell them that they are not allowed to eat at the table. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they do not tell residents that they are not allowed to eat at the table and that they try to encourage them to eat at the table so that they may interact and socialize with one another. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
--- Resident’s room was not clean.
It was alleged that resident’s room has spills under the bed and dust on bed frame. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During the physical plant tour, LPA observed that all residents’ rooms were clean and free from spills and dust. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff clean frequently and feel that their rooms are clean. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they keep the rooms clean and that whatever the day staff miss, the night shift will clean up during the nightly deep cleaning. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
No health and safety hazards observed during the visit.
Exit interview conducted. Copy of this report issued.