complaint·February 22, 2024

Staff did not ensure that residents were provided with activities It is alleged that the staff did not provide residents with activities. LPA conducted interviews with four (4) out of five (5) residents who are able to communicate, Licensee and one (1) staff member, and as well as LPA’s observation at the time of the visit to ensure activities are being held. Information from interviews revealed that since the onset of Covid-19 the facility activities routine changed. Interviews with residents did not show that the facility conducts bingo, exercise, coloring, music, etc. Interview with Licensee and staff revealed that the facility does not provide or offer that many activities since the residents do not seem interested in doing anything. During the initial visit between 9:45 AM to 3:00 PM, LPA did not observe any activities being offered to residents in care. Based on the information obtained through interviews and observation this allegation is deemed to be SUBSTANTIATED at this time. Staff made inappropriate comments about resident while in resident’s presence To investigate this allegation, LPA conducted an interview with the Licensee and staff # 1 (S1) and was informed that the staff always takes care of all residents with dignity and respect. LPA was also informed that facility conducts monthly meetings with all staff regarding the basic services, personal rights, mandated reporter, ect. LPA conducted review of all training documents and confirmed the training is being conducted and completed. In addition, four (4) out of five (5) interviewed residents that the facility staff always treats them with respect and they do not have any concerns regarding this allegation. Based on information obtained through interviews there is not enough sufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time. Staff prepared resident meals in an unsanitary manner To investigate this allegation, LPA reviewed the infection control plan and toured the facility kitchen. The kitchen was clean and sanitary. LPA conducted interviews with four (4) out of five (5) residents, one (1) staff, and the Licensee. Residents interview confirmed that the food is always clean and sanitary. They never witnessed food being prepared in unsanitary manner. Staff and Licensee interview confirmed that they always prepare food in a sanitary manner. LPA was able to observe the end of breakfast and lunch being served during the visit on 12/21/2023. LPA observed that (S1) is wearing gloves and a mask while prepare and serve food to residents. Based on information obtained through interviews there is not enough sufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time.