complaint·March 29, 2023

heavy to manually transfer, even with a two men assist. Staff have to use a Hoyer lift to transfer Resident #1 from the bed to the wheelchair. Staff are not aware that Resident #1 ever sustained a dislocated shoulder. Resident #1 did not complain or mention any shoulder pain while living at the facility. Per interviews conducted regarding Allegation #2 - Staff do not treat resident with dignity and respect. Staff stated that they do not call residents names, cuss at them or tell then that they are annoying. Staff treat residents with respect. In fact, staff all stated that Resident #1 would scream, call them names and cuss out the staff if they told Resident #1 not to smoke drugs in the bedroom or if Resident #1 brought homeless people back to the facility for overnight stays or exchanged drugs in return for televisions and refrigerators from the other residents. Resident #1 would call staff "stupid" and "dumb." Staff got to the point where they did not know how to deal with Resident #1. Three staff have quit as a result of Resident #1's behavior. Regarding Allegation #3 - Facility is not kept clean. Per interviews conducted with staff, the bedrooms are cleaned daily and they all stated that Resident #1 was a hoarder. Resident #1 would have so many things that there was barely room to walk sometimes. Staff would clean Resident #1's bedroom and immediately after it was cleaned, Resident #1 would dirty the room . Resident would throw cigarette butts on the floor, clothing and other items. . Regarding Allegation #4 Facility is infested with scabies. Per information obtained from staff interviews, Resident #3 went to the hospital for a fall and Resident #4 due to lack of appetite in January 2023. The facility was notified by the hospital staff that Resident #3 had scabies and that all the residents should be treated for scabies as a precautionary measure. A physicians order was obtained for Elimite and the residents were treated. The scabies incident was reported to the Health Department but no visit was conducted by the health department nurse as a result of the single case of scabies. Based on the information received, the above allegations are all Unsubstantiated Exit interview was conducted and a copy of this report was provided.