complaint·December 21, 2021

Allegation: Facility staff refrained resident from activity. It is alleged that the facility staff refrained resident from activity. Residents (R4-R9) did not have any concerns regarding the care and supervision being provided to them by the staff. Residents (R1-R3) were non-verbal. LPA observed residents (R1-R3) in dining area for lunch. Residents (R4–R9) stated they have never been told they cannot leave the facility with a family member. Residents (R4-R9) stated they are offered and encouraged to participate in activities every day. Residents (R4-R9) stated they have never been told they cannot participate in an activity offered by the facility. Staff (S1-S7) stated family members can take a family member out of the facility as long as the family member follows the facility protocols. Staff (S1-S7) stated they make sure they get all the residents out of bed each day. Majority of the staff stated they get the residents out of bed for breakfast, shower or change in the morning. Staff (S1-S7) stated there is an activity coordinator and the residents are encouraged to participate in activities each day. Majority of the staff stated the residents exercise or residents that are non-ambulatory are scheduled for sensory activities such as sound, taste, feel, massage and range of motion to keep the body moving and blood flowing. Majority of the staff stated they do take residents out in the afternoon whether permitting to get some fresh air. LPA obtained monthly activities calendar showing the activities by the hour each day. LPA observed activities calendar posted on each floor. LPA observed activities calendar at the front desk/lobby area for visitors to take. 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. There were no deficiencies found at the time of the visit. An exit interview was conducted with Administrator Lourdes Menchaca, and a hard copy was provided.