complaint·June 27, 2023

In regards to the allegation: Resident sustained an unexplained injury while in care. Interviews with 3 of 3 Staff indicate they do not recall injuries sustained by Resident #2. Interviews with 6 of 6 Residents indicate Staff has never caused injury to Residents. In regards to the allegation: Resident fell while in care and sustained a hip fracture. Based on record review, R#1 had a fall on 01/20/21 in the facility. Facility Staff notified the department and the Hospice agency. Review of Hospices records and text conversation indicate Hospice determined there were no signs and symptoms of a fracture. Hospice record did not indicate R#1 sustained a fracture. Interviews with 3 of 3 Staff indicate they were not aware of R#1 sustaining a fracture. In regards to the allegation: Staff left resident in soiled diapers for an extended amount of time. Interviews with 3 of 3 Staff indicate Residents were not left in soiled diapers for an extended amount of time. Interviews with 6 of 6 Resident also indicate they were not left in soiled diapers for an extended amount of time. In regards to the allegation: Residents call buttons are not being answered in a timely manner. Interviews with 3 of 3 Residents indicate call buttons are optional but none of the Residents are using a call button. Residents are consistently monitor throughout the day and night and provided timely service. Interviews with 6 of 6 Residents also indicate they do not use a call button. If assistance is need, Resident would use there phones to call Staff or verbally call out for assistance. Residents interviewed indicate assistance is provided in a timely manner. In regards to the allegation: Staff yells at residents and do not treat residents with dignity and respect. Interviews with 4 of 4 Staff indicate they have never yelled at or treated Residents without dignity or respect and never witnessed other Staff yell at Residents or treated Residents without dignity or respect. Interviews with 6 of 6 Residents indicate Staff have never yelled at them or treated them without dignity or respect. Based on LPA's record review and interviews, the investigation revealed: Although the allegations 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 allegations are unsubstantiated. Exit interview conducted and a copy of this report provided to David Kim (Administrator).