complaint·March 18, 2024

Continued from 9099 Interviews conducted with five (5) residents, five (5) staff and four (4) families of residents in care revealed , that no one has observed any resident locked in their bedroom. During physical plant on the initial complaint visit, LPA observed that each bedroom door swung open towards the inside of the bedroom and each door did not have a lock. LPA’s interview with four (4) family member / responsible parties of residents in care revealed that each did not express any potential or immediate concerns for any resident to be locked in a bedroom. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Staff locked resident in a facility bedroom” is deemed Unsubstantiated at this time. It was reported that Resident’s grooming needs were not met by facility staff, as it was alleged that Resident #2 (R2)’s fingernails were observed to be long and dirty on multiple occasions. In addition, R2’s hair appeared to not have been brushed multiple times. LPA’s records review revealed that staff logged the following items daily; Residents food intake, toileting / bowel movements, and shower assistances. LPA did not observe anything in the records that indicated that any residents grooming needs were not met. Interviews conducted with five (5) staff revealed that each staff member have always observed R2 to appear to be bathed and groomed. Each staff also stated they have never observed R2’s finger nails to be long and dirty. In addition, the staff interviewed further revealed that a podiatrist visits the facility approx. every ninety day or upon request to service each resident. LPA's interview with Podiatrist revealed they have never observed any resident with long and dirty fingernails. LPA’s interview with four (4) family member / responsible parties of residents in care along revealed that each did not express any potential or immediate concerns for residents’ grooming needs not being met by facility staff. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Resident’s grooming needs were not met by facility staff” is deemed Unsubstantiated at this time. It was reported that resident in care was locked out of the facility as it was alleged that on one occasion R1 was locked out at the front door of the facility. Time and day of alleged incident were not provided to LPA. Interviews conducted with five (5) staff and five (5)residents revealed that each person interviewed have never observed any resident locked out of the facility. Continued from 9099-C LPA’s interview with four (4) family member / responsible parties of residents in care revealed that each did not express any potential or immediate concerns for any residents being locked out of facility. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “resident in care was locked out of the facility” is deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued.