complaint·October 23, 2024

Allegation: Staff did not respond to resident in a timely manner It was alleged that on 9/10/2024, at about 2:30 or 3:00 AM, R1 could not breath and called the staff and no one responded for about 15-minutes. To investigate this allegation, LPAs conducted an interview with the Administrator and were informed that when an incident occurs with the resident, the staff must immediately call 911 and then notify the Administrator. Interview with S1 revealed that R1 was periodically checked on a day of an incident. LPAs were also informed that last time R1 was checked on was at 12:30am and S1 started a laundry, which is located in the garage. S1 confirmed that due to the washer and dryer noise, S1 did not hear R1 calling for help (around 2:30-3:00am), therefore, S1 provided help 15-minutes later. S1 also confirmed that the Administrator was immediately contacted and the Administrator instructed S1 to hang up and call 911. Based on interviews and information gathered, during today's visit, this allegation is Substantiated. Deficiency cited on LIC9099-D Exit interview conducted and copy of this report signed and delivered. Allegation: Staff did not meet the needs of resident in care. It was alleged that reported that a couple of days after returning from the hospital R1 was in bed and was covered in ants and the staff denied to bath R1. To investigate this allegation, LPAs conducted an interview with the Administrator and two (2) staff members and all parties interviewed informed LPAs that R1 was never observed to be covered in ants. LPAs were also informed that R1 often refused showers. Moreover, interview with four (4) out of five (5) residents, expressed no concerns regarding this allegation. Therefore, based on interviews and information gathered, this allegation is deemed, Unsubstantiated. Allegation: Staff are not providing activities for residents. It was alleged that R1 and the other residents are not provided with any activities. To investigate this allegation, LPAs conducted an interview with the Administrator and two (2) staff members and all parties interviewed informed LPAs that every morning, during the breakfast time, the staff encourage residents to participate in a different activities, such as outside walks, puzzles, bingo, karaoke, books and other games. LPAs were informed that most residents chose not to participate in a group activities. Moreover, Administrator informed LPAs that all residents were enrolled in a Day Program. However, two (2) residents refused the services and preferred to stay at the facility. In addition, interviews conducted with residents confirmed that they rather do individual activities; like read a book or watch TV, than participate in group activities. Therefore, based on the information obtained, the allegation is deemed Unsubstantiated at this time. Allegation: Staff did not safeguard resident's personal belongings. It was alleged that on 9/16/2024, R1 was removed from this facility and some of his/her clothes were missing. To investigate this allegation, LPAs conducted an interview with the Administrator and were informed that R1 was admitted to this facility on 09/08/24 and relocated on 09/16/24. The Administrator informed LPAs that although no "in advance" notification verbal/written was provided regarding R1's relocation, R1's property and valuables were inventoried and signed by R1's family member upon departure. Moreover, four (4) out of five (5) residents interviewed expressed no concerns regarding this allegation. Based on interviews and record reviews, this allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of this report signed and delivered.