complaint·October 19, 2023

On 10/11/23, from 09:40am-2:00pm, LPA interviewed S1-S5 & R1-R10. It is alleged that the staff did not properly transfer R1 causing resident to fall . 5 of 5 staff denied the allegation that the Facility staff did not properly transfer resident causing resident to fall. All staff stated that they are properly trained at transferring residents and maintain that their actions did not result in the resident to fall. LPA reviewed staff records for in-service training for residents who are a fall risk. All staff have verified training in “tending to falls/lifting techniques” for residents and are compliant in annual required trainings for staff. LPA interviewed R1-R10 about the allegation and 10 of 10 residents stated that they were happy with the care and supervision provided by the staff. Based on interviews, there is insufficient evidence to support the allegation that Facility staff did not properly transfer resident causing resident to fall. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . Allegation # 2 Facility staff did not respond to residents’ call button in a timely manner. LPA interviewed S1-S5 & R1-R10. It is alleged that the staff does not answer calls for assistance in a timely manner. 5 of 5 staff denied the allegation that the Facility staff did not respond to residents’ call button in a timely manner. All staff stated that all calls are answered within 10 minutes of receiving the call. LPA interviewed R1-R10 about the allegation and 9 of 10 residents stated that the staff does answer their calls in a timely manner and are happy with the care and supervision. Based on interviews, there is insufficient evidence to support the allegation that Facility staff did not respond to residents’ call button in a timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . Allegation # 3 Facility staff not maintaining residents’ hygiene. LPA interviewed S1-S5 & R1-R10. It is alleged that R1 is taking a shower every other day. 5 of 5 staff denied the allegation that Facility staff not maintaining residents’ hygiene. All staff state that there is a shower schedule, and according to the residents’ care plan, they choose the date to take a shower. Report continued on LIC9099-C LPA reviewed R1’s care plan and shower schedule and R1 is scheduled to take a shower on Sundays, Tuesdays, Thursdays, and Saturdays. LPA interviewed R1-R10 about the allegation and 3 of 10 residents stated that they are satisfied with the shower schedule in their care plan. And 7 of 10 residents stated that they don’t need assistance with their hygiene needs and they take their own showers without assistance. Based on interviews, there is insufficient evidence to support the allegation that Facility staff not maintaining residents’ hygiene. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . No deficiencies were cited. An exit interview was conducted, and a copy of this report was given to Tracey Mallaret, General Manager.