complaint·November 6, 2024

On 11/06/24, from 09:20am-2:00pm, LPA interviewed staff (S1-S8) regarding the allegation. 8 of 8 staff (S1- S8) denied the allegation that the facility Staff are not properly reporting incidents involving the residents. All staff (S1-S8) stated that the facility does send in timely incident reports. S1 stated that since S1 has been in charge, the facility has sent in all reports involving a death or an injury. Staff (S3-S8) further state that when an injury or death occurs, they alert the med-Techs, caregivers, and the nurses and they either report it to the hospice agency, the family, call 911 and then write an incident report. The department reviewed the Incident reports for the residents dated 09/14/24, 09/16/24, 10/14/24, 10/15/24, 10/18/24, 10/21/24, 10/22/24, 10/28/24, and 11/6/24 for the residents and did not observe any discrepancies in the reports or when they were sent. Based on interviews and records reviewed , there is insufficient evidence to support the allegation that the Staff are not properly reporting incidents involving 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 . No citations were issued for this complaint. An exit interview was conducted with Marcus Falanai, Service Coordinator, and a copy of this Complaint Investigation Report was provided.