complaint·December 26, 2024

Allegation: Staff does not allow residents to possess personal belongings It was alleged that on 12/14/2024, 12/15/2024 and 12/16/2024, S1 took Memory Care Unit (MCU) residents' wheelchairs and walkers and placed them far away from residents, so that the residents didn't get out of bed. To investigate this allegation, LPAs conducted an interview with a Memory Care Director, four (4) staff and one (1) MedTech and all parties interviewed denied the above allegation. Moreover, LPAs conducted interviews with six (6) residents and one witness. LPAs were informed that all facility staff members provide an excellent care with dignity and respect. In addition, all residents and a witness interviewed expressed no concerns regarding this allegation. Therefore, based on interviews this allegation is deemed Unsubstantiated, at this time. Allegation: Staff does not ensure that residents' incontinence needs are met It was alleged that S1 does not change residents' diapers during the shift. To investigate this allegation, LPAs conducted interviews with the Memory Care Director (MCD) and were informed that their current census in a Memory Care Unit (MCU) is thirteen and during the morning (6:00am-2:00pm) and afternoon (2:00pm-10:00pm) shifts the MCU has three (3) staff members and one (1) MedTech and during the night shift (10:00pm-6:00am), the facility has two (2) staff members and one (1) MedTech available. LPAs were also informed that all incontinent residents are being changed at least three (3) times per shift and/or as needed. Four (4) staff members interviewed corroborated with the statement provided by the MCD. In addition, LPAs conducted interviews with three (3) residents and one witness from the Memory Care Unit and three (3) residents from the Assisted Living. All parties interviewed expressed no concerns regarding this allegation. Therefore, based on interviews and LPAs observations, this allegation is deemed Unsubstantiated, at this time. Allegation: Staff confines residents to bedrooms It was alleged that the S1 abuses residents during his/her work shift. To investigate this allegation, LPAs conducted an interview with a Memory Care Director (MCD) and were informed that this issue was brought up to her attention about two (2) weeks ago and she conducted her own investigation by interviewing with two (2) night shift staff members and made unannounced visits during the night shift to observe the staff and make sure that the health and safety of the residents are protected. During todays’ visit, LPAs contacted three (3) night shift staff members, who denied the above allegation. Moreover, three (3) residents from the MCU informed LPAs that they really like S1 and the care provided by S1 and expressed no concerns regarding this allegation. Therefore, based on interviews this allegation deemed Unsubstantiated, at this time. Continue on LIC9099-C Allegation: Staff does not answer residents' call buttons in a timely manner To investigate this allegation while interviewing a sample of six (6) residents, LPAs randomly tested resident’s emergency call buttons in their rooms and bathrooms. LPAs conducted a random inspection of five (5) emergency call buttons, and staff responded within a reasonable time. Interview with the Memory Care Director revealed that the facility’s expectation for response time is three (3) minutes. Moreover, interviews with four (4) staff members revealed that they respond to residents' call buttons immediately and if, for any reason, a staff member is not available to assist, they communicate with each other to make sure the call/page is being taking care of right away. In addition, interviews with six (6) residents revealed that the staff always response immediately and expressed no concerns about the above allegation. Based on interviews, LPAs observation and review of the information received, this allegation is deemed Unsubstantiated at this time. Allegation: Staff does not ensure that resident is afforded a comfortable accommodation It was alleged that S1 placed the residents' pillows and blankets on the floor, then placed the residents on the floor to sleep, so that the residents couldn't get up. To investigate this allegation, LPAs conducted an interview with the Memory Care Director (MCD) who denied the above allegation and informed LPAs that no such approach towards residents were brought up to her attention. LPAs were also informed in the month of November S1 was recognized as an “Employee of the Month” for being so kind, caring, and favorite to residents. In addition, LPAs conducted an interview with S1 who also denied this allegation and informed LPAs that he/she always provides care to all residents with dignity and respect. Moreover, four (4) staff and six (6) residents interviewed, expressed no concerns regarding this allegation. Therefore, based on interviews this allegation deemed Unsubstantiated, at this time. Allegation: Staff speaks inappropriately to residents It was alleged that S1 yells at residents when the residents try to leave their rooms. To investigate this allegation, LPAs conducted an interview with the Memory Care Director, six (6) staff and one (1) MedTech. All parties interviewed denied the above allegation and informed LPAs that they haven’t witness nor heard S1 yelling and or inappropriately speaking with the residents. Moreover, interviews with three (3) residents and one (1) witness from a Memory Care Unit expressed no concerns regarding this allegation. Therefore, based on interviews this allegation deemed Unsubstantiated, at this time. No deficiency cited during today's visit. Exit interview conducted and copy of this report signed and delivered