complaint·June 5, 2025

The investigation revealed the following: Allegation: Unqualified staff are providing care to residents It is alleged that staff working at facility are not properly trained to provide care to residents and none of the staff are not CPR trained. LPA reviewed 6 staff files and each staff had the required training documented within their personnel file. LPA interviewed 5 staff and 5 out of 5 staff denied the above allegation and stated that upon hire they were provided with sufficient training and undergo multiple in-service training's throughout the months, each staff stated they maintain valid CPR certificates and are reminded to renew when it gets close to their expiration. LPA interviewed 13 residents and 11 out of 13 residents denied the above allegation and stated they feel the staff here are well trained to assist in care and supervision. (unsubstantiated) Allegation: Staff are not responding to residents call pendants in a timely manner It is alleged that when residents push their call buttons for assistance it takes staff 15-30 minutes to respond, either because they are short staffed or staff don’t want to respond. LPA toured facility along side of Administrator Brandie a total of 5 Resident rooms were entered (2 on first floor, 2 on second floor, 1 in memory care) and call buttons were tested, response time on each test averaged 1-2 minutes. LPA observed the call button station at front desk and it was explained by S3 that there is a sound that station makes when a button is pulled, they will then call a caregiver to respond on the walkie talkie and response time is usually within 3 minutes or less. LPA interviewed 5 staff and 5 out of 5 staff denied the above allegation and stated that they try their best to assist quickly, if they are busy assisting another resident they communicate with other caregivers via walkie talkies to find someone to assist within a timely manner. LPA interviewed 13 residents and 11 out of 13 residents denied the above allegation and stated that they have used the call button or their phone to ask for assistance and a caregiver or staff arrives within a timely manner to assist. (unsubstantiated) Based on statements and interviews conducted with staff and residents, review of staff files and LPA observations, there was not enough supportive evidence to concur with the reported allegations. 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, and a copy of this report was provided.