Complaint·July 28, 2023

The investigation revealed the following: Allegation: Staff do not afford resident dignity in their relationship. LPA interviewed staff (S1-S8) and residents (R1-R7). regarding allegation listed above. All interviewed denied the allegation including R1. During the course of the investigation, LPA was unable to find any documents or witnesses supporting the allegation above. LPA reviewed a copy of the admissions agreement including general policies and guidelines, communications – information services and member code of conduct among other topics given to each resident upon admission to the facility. All staff of the and residents denied the allegation and stated there were no issues or concerns about the facility staff not affording residents dignity. Based on information gathered, the department did not find sufficient evidence to support the allegation. Although the allegation 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 allegation is Unsubstantiated . Cont Allegation: Staff do not respond timely to resident's call pendent S1 stated that resident R1 does indeed activate R1’s call device often for assistance for care and staff responds to the calls for assistance. S1 stated to LPA that S1 was unaware of any complaints from R1 regarding delayed assistance and denies the allegation. LPA reviewed call logs and found that multiple calls had occurred at or around the same time. R1 was however provided assistance. LPA interviewed Staff stated to LPA all the staff responds timely to every call for assistance from all the residents. LPA interviewed staff (S2-S7) and staff confirmed they respond quickly to the call alerts from residents promptly as trained. LPA interviewed residents (R2-R7). regarding allegations listed above -Staff did not answer resident's call button in a timely manner, of residents interviewed the residents reported they had not encountered a problem with staff not responding timely. Based on information gathered, the department did not find sufficient evidence to support the allegation. Although the allegation 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 allegation is Unsubstantiated . Allegation: Staff do not wake residents for breakfast LPA interviewed morning shift staff inclusive of (S1-S7) all staff confirmed all residents are offered breakfast every morning. Staff informed LPA if a resident wakes up late the resident can still have breakfast at their request. LPA interviewed residents (R2-R7). regarding allegations listed above, all residents reported they had not encountered a problem with staff not waking residents for breakfast. R1 informed LPA he had not missed breakfast since residing at the facility. R1 informed LPA that he is independent and usually sets an alarm to wake in the mornings. Based on information gathered, the department did not find sufficient evidence to support the allegation. Although the allegation 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 allegation is Unsubstantiated . Cont Allegation: Resident did not receive copy of care plan. LPA interviewed S1, S1 denied the allegation. S1 stated all residents, or their responsible party are required sign admission agreement and care plans incorporated into their agreement and a provided a copy at the time of admission or shortly thereafter. S1 also stated that a copy of the plan is available upon request by resident or responsible. S1 was asked if R1 made any document request R1 stated “no”.LPA reviewed resident file and required documents were in the file and signed. LPA interviewed R1, R1 was asked if he received a copy of his care plan R1 stated to LPA ‘I don’t not remember but I am sure my daughter has a copy of my paperwork’. R1 was asked was he denied a copy of his paperwork? Answer no “I have not asked for it”. LPA interviewed residents (R2-R7) all stated that they have had no issues receiving documents or copies of signed agreements. Based on information gathered, the department did not find sufficient evidence to support the allegation. Although the allegation 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 allegation is Unsubstantiated . Findings Based on information gathered, the department did not find sufficient evidence to support the allegations listed 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 and a copy of the LIC 9099 was provided to Matt Ryan Executive Director