complaint·December 2, 2023

INVESTIGATION REVEALED THE FOLLOWING: Allegation #3: Facility staff did not observe change in resident's health conditions. Allegation #4: Facility neglected well care checkups for resident in care. The details of the complaint alleged the facility did not observe the change in resident #1 (R1) condition and neglected the wellness care checkup for (R1). The complainant claimed the (R1) was exposed to an infection and had general weakness of muscles. A review of (R1's) service records and medical records revealed, (R1) medical checkups were performed with the in-house physicians. Records indicated physician visits listed: 09/20/18,11/19/18, 12/12/18, 08/28/19, 02/19/20, 12/17/19, 01/17/20, 02/19/20, 08/13/20, 08/17/20, 09/03/20, and 09/13/20. Psychiatric Assessments were conducted monthly from 12/12/18 through 12/31/20. Physician's Report LIC 602A was performed on annually on 11/19/18, 12/17/19, 01/20/20, and 02/19/20. (R1's) Appraisal/Needs and Services Plan LIC 625 were performed on 06/19/1810/16/19, 01/17/20. (R1) records indicated, that (R1) was being observed by staff every (2) hours daily on each shift according to Incontinent 2-hour check logs. On 09/27/23, interviews were conducted between 10:00 am and 3:11 pm with (9) out (9) residents #2 - #10 (R2-R10) were complimentary of staff. (R2-R10) recognized that staff have challenging duties and remain to be attentive and responsive. On 09/27/23, interviews were conducted between 10:37 am and 12:43 pm with (5) out (5) family representatives witness #1-#5 (W1-W5) reported they did not have any concerns for their health and safety and medical assistance was available for residents at all times. (W1-W5) described the care and supervision as sufficient. On 12/01/23, interviews conducted between 11:00 am and 1:00 pm (5) out of (5) staff # 1- #5 (S1-S5) claimed care and supervision for (R1) continuous around-the-clock daily. (S1-S2) claimed, (R1) did present a decline in his health condition. (R1) was being medically assessed in-house by medical professionals, and (R1's) wellness checkups were performed in the facility. Evaluation Report continues LIC 9099-C Several attempts to interview (R1) on 09/27/23 and 11/27/23 were unsuccessful. (R1’s) health condition prevented (R1) from carrying on full conversations. (R1's) Case Workers were not available for an interview. Based on all the information obtained during the investigation, there is no evidence to support the allegations mentioned above. Based on the information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Beverly Malacas, and copies of the reports were provided.