complaint·February 3, 2022

Residents interviewed indicated there is sufficient staff and described the staff as "great". Families interviewed did not have any concerns regarding staffing levels. At the time of the visit, LPA observed 3 caregivers, an activity person, and an additional staff member administering medication. The previous visit was conducted in the afternoon and LPA observed 3 caregivers. LPA observed food being served, staff passing medication and assisting residents with Activities of Daily Living (ADL's). Based on the information obtained, the allegation is unsubstantiated. Allegation: COVID guidelines not being followed. Allegedly staff were observed not wearing their masks properly. Staff interviewed denied the allegation. Residents interviewed indicated staff always wear masks. During LPA's visits, staff were always observed wearing the appropriate masks. Based on the information obtained, the allegation is unsubstantiated. Allegation: Administration of medication not properly supervised. Allegedly there was confusion about R1's medications, however there were no other details provided. R1 is no longer a resident of the facility and therefore the medication cannot be reviewed. LPA reviewed 5 other residents' medications. The medications are documented properly and appeared to be given as prescribed. Staff and residents interviewed did not corroborate the allegation. Families interviewed did not have any concerns regarding the medications. Based on the information obtained, the allegation is unsubstantiated. Allegation: Resident not receiving proper care. Allegedly R1's briefs were not being changed often enough. This allegedly lead to redness. Staff interviewed denied the allegation and indicated R1 was capable of toileting many days on his/her own. The most recent physician's report dated 9/23/20 indicates R1 is ambulatory and is able to care for own toileting needs. Residents interviewed did not corroborate the allegation. Residents described the staff as "great". Families interviewed did not have any concerns about this allegation. Based on the information obtained, the allegation is unsubstantiated. Allegation: Denied access to visiting resident. Allegedly a visitor was denied a visit with R1. The facility requires visitors to schedule visits through a website. Allegedly the visitor scheduled the visit and was denied a visit. Staff indicated that at the last minute another visitor cancelled their visit and the visitor for R1 was able to schedule a visit for that same time slot. However, the visiting list was already printing out for the day and staff were unaware that R1's visitor had scheduled the visit and did not allow the visitor in because that time slot was already filled. Due to COVID restrictions, the facility is only allowing 1 visitor at a time. Continued on 9099C. Some of the caregivers interviewed remember the incident with R1's visitor and confirmed they did not allow the visitor in because they were not on the visiting list and someone else was scheduled to visit at the same time. Families interviewed indicated they have never been denied a visit. This incident seems to be a scheduling conflict and not a denial of visitation. Based on the information obtained, the allegation is unsubstantiated. 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. Exit interview held. A copy of the report was provided.