Complaint·March 14, 2024

Allegation: Staff did not safeguard a resident's personal belongings. On 03/13/2024 LPA España interviewed the Administrator who stated that they are aware of residents' personal rights and confirmed that no personal belongings are missing. They also stated that staff are not stealing residents' belongings. LPA España interviewed 6 residents, of those interviewed 6 out of 6 stated they were aware of their personal rights and reported no missing belongings or theft by staff. LPA España interviewed 6 staff members, of those interviewed, 6 out of 6 who confirmed their awareness of residents' rights and denied any involvement in theft. Based on interviews and observations there is insufficient evidence to support the allegation: Staff did not safeguard a resident's personal belongings. 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: Staff abused the residents while in care. On 03/13/2024 LPA España interviewed 6 staff members of those interviewed 6 out of 6 denied the above allegation and reported being unaware of any resident being physically abused while in care. LPA España interviewed 6 residents of those interviewed, 6 out of 6 denied the allegation. LPA conducted a file review and there were no incident reports on file for the above allegation staff abused residents while in care. Based on interviews and observations there is insufficient evidence to support the allegation: Staff abused the residents while in care. 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: Staff do not properly maintain a resident's room. On 03/13/2024, LPA España interviewed the Administrator and confirmed that maintenance oversees the housecleaning schedule, which includes daily cleaning of residents' bedrooms, except when refused. The facility employs 3 housekeepers and plans to hire more. LPA Espana interviewed 6 staff members regarding the allegation. All 6 stated housekeeping services where available to residents daily. LPA Espana interviewed 6 residents, who all indicated that housekeeping is available on weekdays and weekends. Based on interviews and observations there is insufficient evidence to support the allegation: Staff do not properly maintain a resident's room. 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. The investigation revealed the following: Allegation: Staff do not keep a resident's room free from mold and chemicals. On 03/13/2024, LPA España inspected the facility's grounds. LPA Espana toured 10 rooms and did not find any mold or chemicals present. The Executive Director, Luz Rose, stated there were no mold or chemicals present. LPA España interviewed 6 staff members and 6 residents of those interviewed, all stated they had no issues with mold or chemicals. Both the 6 staff and the 6 residents disagreed with the allegation, consistently stating that there were no problems with mold or chemicals in the facility. Based on interviews and observations there is insufficient evidence to support the allegation: Staff do not keep a resident's room free from mold and chemicals. 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: Staff do not seek emergency assistance for the residents. On 03/13/2024 LPA Espana interviewed Executive Director, Luz Rose, who explained that staff immediately call EMS and document incidents in SIRs when emergency assistance is needed. The facility contacts relevant parties, such as the resident's physician and family. A pull cord system alerts staff when a resident requires immediate help, and caregivers check on residents every two hours. On 3/13/2024 LPA España interviewed 6 staff members of those interviewed, 6 confirmed that the facility promptly calls EMS and provides necessary medical care. LPA España interviewed 6 residents of those interviewed, 6 stated that they feel confident in the facility's prompt response to emergencies. Based on interviews and observations there is insufficient evidence to support the allegation: Staff do not seek emergency assistance for the residents. 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: Staff verbally abused a resident while in care. On 03/13/2024 LPA España interviewed 6 of those interviewed, all 6 staff members reported no incidents of abuse in 2024, with any aggressive acts documented in Unusual Incident Reports. LPA España interviewed 6 staff of those interviewed 6 stated that any mistreatment is immediately reported to relevant authorities. LPA España interviewed 6 residents of those interviewed, 6 revealed no concerns or experiences of verbal abuse, and they believed the allegation lacked merit. LPA España 6 residents, of those interviewed, 6 denied witnessing or being involved in any abuse incidents. Based on interviews and observations there is insufficient evidence to support the allegation: Staff verbally abused a resident while in care. 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: Staff unlawfully evicted a resident. On 03/13/2024, LPA España interviewed Administrator who explained that evictions occur only for reasons such as unpaid rent, not taking medications, or multiple incidents with documented warnings. They noted that the last eviction notice was given in 2023, and that resident still resides at the facility. LPA España interviewed 6 staff members of those interviewed, all 6 stated no awareness of any unlawful evictions. LPA Espana interviewed 6 residents of those interviewed, all 6 stated no awareness of any unlawful evictions. Based on interviews and observations there is insufficient evidence to support the allegation: Staff unlawfully evicted a resident. 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. THIS PAGE IS INTENTIONALLY LEFT BLANK THIS PAGE IS INTENTIONALLY LEFT BLANK Allegation: Staff refused to provide requested documentation to requesting agencies On 03/13/2024 LPA España interviewed 6 staff of those interviewed, 6 staff revealed no awareness of such incidents, and 6 staff believed management addresses all requests. LPA interviewed 6 residents of those interviewed, 6 stated they had no awareness of such incidents, and 6 residents believed management addresses all requests. A file review found no incident reports supporting the allegation. Based on interviews and observations there is insufficient evidence to support the allegation: Staff refused to provide requested documentation to requesting agencies. 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 were no deficiencies cited on today's visit. An exit interview with Luz Rose Executive Director and a copy of this report provided. THIS PAGE IS INTENTIONALLY LEFT BLANK