complaint·April 2, 2025

The investigation revealed the following: Allegation: Staff did not attend to residents in a timely manner The details of the complaint allege that the residents calls are not answered by night shift staff and they are left in soaked briefs until morning staff arrives. On 2/21/25 between 9:03am – 10:30am, LPA Shirley interviewed R1 – R9. On 2/21/25 LPA Shirley toured the facility and pushed the call buttons in rooms 21A, 21B, 28, 34, 32B, and 50. LPA Shirley noted that the call box in room #28 was not working correctly. LPA Shirley pushed the call button on the call box three times and observed that the indicator on the call box did not light up. LPA Shirley turned the box over and observed that the wires were loose and therefore not giving an alert to the front desk. LPA Shirley assembled the wire around the screw behind the call box and then again pushed the button and the indicator lit up. As soon as the indicator lit up, the staff assigned to the front desk answered and said, “Front desk, how can I help you.” LPA Shirley spoke with and interviewed staff 1 thru staff 9 (S1 thru S9). LPA ask, does staff attend to residents in a timely manner? Of those interviewed, 7 out of 9 staff answered yes, and 2 answered other than yes or no. LPA Shirley interviewed residents 1 thru resident 9 (R1 thru R9). LPA ask, does staff attend to your needs in a timely manner? Of those interviewed, 5 out of 9 residents answered no, 4 residents answered yes. Regarding the allegation “Staff did not attend to residents in a timely manner, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. Con'd on 9099-C Allegation: Staff sleep while on shift LPA Shirley spoke with and interviewed staff 1 thru staff 9 (S1 thru S9). LPA ask, does staff sleep while on shift? Of those interviewed, 6 out of 9 staff answered no, 2 staff answered yes and one answered other than yes or no. LPA Shirley interviewed residents 1 thru resident 9 (R1 thru R9). LPA ask, do you believe the staff sleep during the nightshift? Of those interviewed, 3 out of 9 residents answered yes, 2 residents answered no and 4 answered other than yes or no. Regarding the allegation “Staff sleep while on shift, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. Allegation: Staff did not provide reasonable privacy to residents in care The details of the complaint allege that staff listens in on the rooms through the call boxes without the resident’s knowledge. On 2/21/25 between 9:03am – 10:30am, LPA Shirley interviewed Resident#1 – 9. During interviews, six residents stated that they can tell when the call box comes on because they can hear the static. LPA Shirley pushed six residents call buttons that were in their rooms during the time of the interviews. LPA Shirley verified that the call buttons were working and could hear when staff is about to speak and all received immediate responses once the buttons were pushed. Con'd on 9099 LPA Shirley spoke with and interviewed staff 1 thru staff 9 (S1 thru S9). LPA ask, does staff provide reasonable privacy to residents in care? Of those interviewed, 9 out of 9 staff answered yes. LPA Shirley interviewed residents 1 thru resident 9 (R1 thru R9). LPA ask, do you believe that you receive reasonable privacy? Of those interviewed, 7 out of 9 residents answered yes and 2 residents answered no. Regarding the allegation “Staff did not provide reasonable privacy to residents in care, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to the Business Office Manager, Shiree McCutchen.