complaint·November 10, 2021

Allegation: Facility has scabies It is alleged the facility has scabies. On 11/10/2021, (LPA) Gail Johnson interviewed resident (R1-R11) and no resident has ever had scabies living at the facility over the last couple years. (LPA) Don Senaha interviewed staff (S1-S8) and staff (S1-S8) stated no residents has had scabies. There was an in-service training on scabies staff (S7) conducted to all other staff as part of the topics covered on the 12/02/2020 training. LPA also confirmed facility has a pest control agreement with Admiral Pest Control and staff (S1) stated they service the facility every other Tuesday. LPA obtained invoices for last two (2) services. Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above. Allegation: Resident fell from hoyer lift It is alleged a resident fell from hoyer lift. (LPA) Gail Johnson interviewed residents (R1-R7, R9-R11) and they stated they do not require a hoyer lift. Resident (R8) does require a hoyer lift. Resident (R8) stated he slipped and fell from the hoyer lift about 4 or 5 years ago and no injury or emergency services were needed. (LPA) Don Senaha interviewed staff (S1-S8) and they stated only one (1) resident (R8) uses a hoyer lift. Staff (S1-S8) stated they have been trained on how to use the hoyer lift. There was an in-service training on hoyer lift staff (S7) conducted to all other staff as part of the topics covered on the 12/02/2020 training. Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above. Allegation: Staff does not ensure that resident is taken out of bed It is alleged staff does not ensure that resident is taken out of bed. (LPA) Gail Johnson interviewed residents (R1-R11) and they stated they all get out of bed every day. (LPA) Don Senaha interviewed staff (S1-S8) and all residents do get out of their beds specifically for meals. Staff encourage residents to do activities. (LPA) Don Senaha obtained a copy of the activities calendar. Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above. Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with Administrator Beatrice Romeo, and a hard copy was provided.