Complaint·July 23, 2024

Regarding the allegation : Staff pushed a resident in care. It is being alleged that one (1) of the residents suspects that a nurse pushed their wheelchair from behind as they were going down the ramp that goes outside, causing them to put their hand out to catch themselves. LPA interviewed four (4) out of six (6) residents that confirmed that they have never been pushed while in care. Resident #1 (R1) was able to confirm that they had fallen on their own. Three (3) out of three (3) staff confirmed that R1 did fall while going down the ramp. Staff also reported that R1 does not like to wait for staff for help. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time. Regarding the allegation : Staff yells at the residents in care. It is being alleged that there are staff at the facility that yell at residents. Although, resident #1 (R1) did confirm that the staff are loud, they did not confirm that staff yell at them. LPA interviewed four (4) out of six (6) residents of which three (3) residents confirmed that staff do not yell at them. Three (3) out of three (3) staff confirmed that they do not yell at residents. Therefore, based on the LPA's observations, staff, and resident interviews the above allegation(s) is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator. Regarding the allegation : Staff did not provide assistance to a resident in care. It is being alleged that resident #1 (R1) fell on the floor and was left there overnight. Three (3) out of three (3) staff did confirm that R1 continues to fall because they need assistance. Three (3) out of three (3) staff did state R1 needs a minimum of two (2) people to move them around. LPA interviewed four (4) out of six (6) residents that confirmed that they do need assistance and have no way of getting assistance when needed. LPA observed that six (6) out of six (6) residents do require specific assistance according to their file review which is not being met according to their individual needs. Therefore, based on the LPA's observations, record review, staff, and resident interviews the above allegation(s) is SUBSTANTIATED at this time. An exit interview was conducted, a citation(s) was issued for the above allegation(s), Appeal rights and a copy of this report was given to the Administrator.