Complaint·October 18, 2023

On 10/18/23, from 10:00am-1:00pm, LPA interviewed S1-S3 & R1-R5. It is alleged that staff confines resident R1 to a wheelchair all day and the resident is losing their ability to walk. 3 of 3 staff denied the allegation that Staff confines resident to a wheelchair. All staff stated that R1 is not confined to the wheelchair. R1 can walk around a bit, and they try to keep R1 walking. LPA attempted to interview R1-R5 but was not able to due to cognitive difficulties. LPA observed R1 and did not observe any sign of maltreatment. R1 was in the bed and appeared to be doing well. Based on interviews, record review, and observations, there is insufficient evidence to support the allegation that Staff confines resident to a wheelchair. 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 Licensee does not ensure that staff has a criminal clearance. On 10/18/23, from 10:00am-1:00pm, LPA interviewed S1-S3 & R1-R5. It is alleged that the facility has undocumented staff working without a criminal clearance and distributing medication to the residents. 3 of 3 staff denied the allegation that the Licensee does not ensure that staff has a criminal clearance. All staff stated they have had a criminal background and has been cleared. S1 provided LPA with supporting documentation of criminal clearances for all staff and ongoing in-service training for medication, Personal Rights of residents, Dementia Care, and other related training to provide effective care to the residents. LPA attempted to interview R1-R5 but was not able to due to cognitive difficulties. LPA observed that all residents looked well and happy. Based on interviews, and a record review of staff files, there is insufficient evidence to support the allegation that Licensee does not ensure that staff has a criminal clearance. LPA reviewed all staff records and found that all staff has criminal clearances and the appropriate in-service training to work. 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 James Buckman, Licensee.