complaint·November 22, 2022

Allegation: Staff do not assist residents with incontinence needs Interviews with five (5) out of five (5) staff members revealed that all incontinent residents are being changed every 2 hours or as needed. During the interview LPAs observed all Memory Care Unit residents were appropriately dressed and well taken care of. LPAs did not smell any odor while interviews were taking place. Based on information obtained through interviews and LPAs observation this allegation is deemed Unsubstantiated. Allegation: Staff are not following resident admission agreement Although, the Reporting party made an identification, the person they identified was not a resident in a Memory Care Unit. Therefore, LPAs were not able to interview the resident nor had enough evidence to prove that the facility staff was not following the Admission Agreement. Based on information obtained through document review this allegation is deemed Unsubstantiated. Allegation: Staff not trained before caring for residents Interviews with five (5) out of five (5) staff members and three (3) out of three (3) MedTechs revealed that prior to an actual schedule being released the employees take forty (40) hours of online training and five (5) days of shadowing. Interviews also revealed that if the staff member is not ready to start work on their own, they can request for an additional training. Interview with the Regional Operations Specialist revealed that all staff members have to feel comfortable working independently. In addition, five (5) out of ten (10) residents, who were able to communicate, also informed LPAs that the facility staff members provide a good care and know what they are doing. Based on information obtained through interviews this allegation is deemed Unsubstantiated. Allegation: Staff do not ensure resident is wearing hearing aide support Although, the Reporting party made an identification, the person they identified was not a resident in a Memory Care Unit. Therefore, LPAs were not able to interview the resident nor had enough evidence to prove that the staff do not ensure resident is wearing hearing aid support. LPAs interviewed five (5) out of five (5) staff members, who denied this allegation stating that they do assist residents with their hearing aid. One (1) out of five (5) staff members stated: “When a resident refuses to wear a hearing aid in the morning, we try to approach them to wear it later in the day.” Based on information obtained through interviews this allegation is deemed Unsubstantiated. Continue on LIC9099-C Allegation: Staff are not showering residents Interviews with five (5) out of ten (10) residents, who were able to communicate, revealed that they receive showers twice weekly or as needed. LPAs reviewed shower schedule for a Memory care unit and observed that when a resident refuses to shower, it is documented and a second attempt to encourage the resident to take a shower is made later on that day. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Allegation: Staff are feeding residents meals late Interviews with the kitchen Chef, one (1) cook, five (5) out of five (5) staff members and five (5) out of ten (10) residents, who were able to communicate, revealed that usually the facility meals are ready on time. However, due to COVID there was a slight delay of 5-10 minutes, but the residents did not complain. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Allegation: Facility does not have a full time employee for food service Interviews with a Chef and a cook revealed that the facility is working on hiring more employees, but whoever gets hired, immediately resigns on a following day or on that same week. Interview with an Regional Operations Specialist revealed that the facility is actively looking to hire more people and provided LPAs with a list of an employment from Indeed.com, Facebook, etc. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Allegation: Facility is not following menu plan Interviews with five (5) out of ten (10) residents, who were able to communicate, revealed that the facility always follows the daily menu. Interview with the Chef and a cook revealed that very rarely that they do a menu change. But, when they do, it is for the reasons of shortage of ingredients or shortage of staff due to some meal preparations can be time consuming. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Continue on LIC9099-C Allegation: Facility does not purchase enough food At 11:00am, LPA made a visit to the kitchen and observed it is fully stocked with perishable and non-perishable foods. Interview with the Chef and a cook revealed that the food is restocked regularly at least 2 times a week, on Wednesday and Saturday. LPAs also observed the residents with special dietary needs are posted in the kitchen prep area with pictures of the resident and their food choices or required preparation. Based on information obtained through interviews and document review this allegation is deemed Unsubstantiated. Exit interview conducted and copy of report was provided to the Executive Director.