complaint·March 13, 2024

S2 went to the store on the following day to purchase and install a new handle and lock. R1 was provided a new key on 02/15/2024. At 2:45 p.m. on 02/20/2024 LPA observed a working door handle, R1’s key, and a secure lock to R1’s door. Based on interviews and observations, R1’s door is secure and working. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Resident's personal belongings are not being safeguarded” it was alleged that R1’s belongings were not safe while their lock was broken, and R1’s Access card is missing. R1 believed they gave their Access card to an unknown staff member. The facility fixed R1’s lock within a reasonable amount of time of approximately 24 hours. R1 stated nothing had been stolen or missing during that period. LPA’s interviews with staff on 02/20/2024 revealed four (04) out of four (04) staff had no knowledge of the location of R1’s Access card. Interview with Staff #1 (S1) at 3:00 p.m. on 02/20/2024 revealed R1 did not have an Access card and needed to apply for one. Interviews with Staff #3 (S3) at 3:30 p.m. and the ED today at 10:45 a.m. revealed R1 likely gave the card to Staff #4 (S4) who resigned in February 2024. The ED also did not know where R1’s access card was. Based on interviews, the facility safeguarded R1’s belongings. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility not providing reasonable accommodations for resident” it was alleged R1’s roommates smelled of smoke and the facility is not providing R1 with another room or roommate. Interview with S1 confirmed R1’s former roommate was caught smoking on the balcony. The facility addressed the matter and provided R1 with a new room and new roommate. S2 confirmed that the facility provided R1 with a new room and roommate, but the new roommate also smokes. Interview with the ED at approximately 3:00 p.m. on 02/22/2024 revealed R1 did not express any concerns to staff or the ED about the new room and roommate. However, the facility provided R1 with a new room and roommate to meet their needs. Based on interviews, the facility provided reasonable accommodations to R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety risks were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.