complaint·August 2, 2024

Allegation: Licensee does not ensure that staff are present at the facility while residents are in care. It was alleged that the facility Administrator with the spouse (Staff #1) go home at night and no staff are present to provide care to the residents. To investigate this allegation, LPA conducted an interview with the Administrator and S1 and both denied the above allegation. LPA was informed that although the facility has a night shift staff, the Administrator and S1 do not leave the facility premises due to residing at the facility and mostly stay in their room. Two (2) out of two (2) residents interviewed corroborated with the Administrators statement and expressed no concerns regarding this allegation. Lastly, during the physical plant tour, LPA observed the staff room with a private kitchen/dining area and a bathroom available. Based on LPA's observations and interviews this allegation is deemed Unsubstantiated, at this time. Allegation: Staff did not seek medical attention for resident in a timely manner. It was alleged that R1 fell and hurt his/her back, arms and legs (bruising) and the Administrator refused to call 9-1-1. To investigate this allegation, LPA conducted an interview with the Administrator and S1. Both parties interviewed informed LPA that R1 did not have a fall. LPA was informed that on 05/07/24, R1 went out for lunch with friends. Administrator also informed LPA that once R1 came back to the facility, R1 went into his/her room. When Administrator went to check on R1, he/she was walking towards the Administrator with the walker and told the Administrator that his/her legs are giving up. At that point, the Administrator called S1 for help and held R1. R1 slowly was able to seat on the floor. LPA was informed that there was no incident of a fall. Few minutes later, R1 felt better and was placed on a bed. Interview with the Administrator also revealed that although R1's hospice nurse was immediately contacted and R1 was evaluated on that same day, 9-1-1 was called on 05/13/24, due to R1's decline in condition. In addition, Administrator and S1 informed LPA that prior to their employment they completed 40 hours of training, and they are aware of the proper steps on how to assist residents with their medical needs, they immediately contact hospice or emergency services, if needed. Interview with two (2) out of two (2) residents revealed that they feel very safe living at this facility. Both residents also informed LPA that the facility staff is very professional and knowledgeable of their duties. Lastly, review of R1's Medical Records revealed that R1 was diagnosed with atelectasis/pneumonia, and no evidence of bruising nor serious injury were observed upon admission. Based on interviews and record reviews this allegation is deemed Unsubstantiated, at this time. Continue on LIC9099-C Allegation: Licensee does not ensure that residents are provided with food that is of the quality and in the quantity necessary to meet their needs. It was alleged that facility staff failed to provide adequate food service. To investigate this allegation, LPA conducted a physical plant walk through at 10:15am and observed the refrigerator to be fully stocked. Additionally, LPA observed lunch being prepared for the residents, and it was observed to be nutritious. Lastly, LPA conducted interviews with two (2) out of two (2) residents and both residents stated they were happy with the food services and meals they are provided. Based on LPA's observations and interviews, this allegation is deemed Unsubstantiated, at this time. No deficiency cited during today's visit. Exit interview conducted and copy of this report signed and deliver ed.