complaint·November 9, 2021

Staff who frequently work with R1 indicated that R1 is independent and will verbally notify staff if R1 requires assistance. R1 is changed in the morning and at night by facility staff and is able to ask for assistance during the day. R1 confirmed that R1 does have sensitive skin and a rash did develop, however R1 has received medication for the rash and has not had any issues since. Based on information gained from interviews with staff and residents, as well as a review of facility documentation, this allegation is deemed UNSUBSTANTIATED. Allegation 2 - Staff are not working to prevent resident falls. LPA was able to interview the resident in question (R2), additional residents, interview staff, and review documentation relating to this allegation. At 10:10 AM, LPA interviewed R2 who confirmed that R2 had slipped out of bed. R2 stated that the staff did assist R2 back to bed and used the fall pendent to get the staffs attention. At 10:20 AM, LPA tested R2's fall pendent and staff came to our location in about 2 minuets. Facility staff were interviewed at about 11:00 AM and confirmed that in-service training was recently conducted regarding the importance of positioning and transferring residents as well as an in-service on responding to resident calls. Staff also confirmed that they all must complete an in-service annually on falls and fall risks. Staff indicated that fall risk residents have pendants to call for assistance and some residents have fall bracelets that alert staff that a fall has occurred. A review of staff in-service documentation also confirmed the annual fall training's and recent in-services held. 8 residents were also randomly interviewed during todays visit and all residents confirmed that staff are fast to respond to calls from the pendents and that they did not have any concerns over the staff not being there when they need them. Based on information gained from interviews with staff and residents, as well as a review of facility documentation, this allegation is deemed UNSUBSTANTIATED.