Complaint·February 13, 2025

Allegation: Staff did not meet resident’s needs. Regarding allegation, “Staff did not meet resident’s needs,” it is alleged, staff did not provide resident with insulin and diabetic supplies to check sugar. During the investigation, interview with R1 indicates, facility staff did not have their insulin after being transferred from convalescent hospital. R1 reported to staff they were feeling sick and was transported to hospital via ambulance. Review of Special Incident Report dated 11/14/2024, indicates, R1 was assessed by paramedics with Hypoglycemia being high, at 561. Interviews with S1 indicate, facility received the insulin, however, it was not administered. Interview with S2 also confirms, R1 did not receive insulin dose at the facility. Additionally, interviews with DS indicate, R1 was transferred to facility from convalescent home with all their medication, including their insulin. Review of medication inventory lists from facility and convalescent hospital further indicate insulin was included in the medication R1 took to the facility during their transfer from convalescent hospital. Based on LPA’s observations, file and record reviews, and interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation has been determined to be SUBSTANTIATED . Deficiency cited on LIC 9909-D. Exit interview was conducted with Dennis Robeniol. A copy of the report and Appeal Rights were provided. It is alleged, staff declined to listen to resident and only listened when they asked staff to call the ambulance when they did not feel well. During the investigation, eight out of nine residents interviewed stated, staff are helpful, and they meet their needs in a timely manner. Residents stated staff are nice and they have not experienced any problems during their time at the facility. Staff interviewed stated, staff ensure care and supervision of residents is met by conducting scheduled status checks. There is Life Alert necklace system in place for all residents to ensure they have a way to communicate with staff at any time. During tour of the facility, LPA observed multiple staff providing care and supervision to residents in their rooms and during daily activities throughout the facility. Based on LPA observation, file and record review, and interviews conducted, the allegation listed above could not be corroborated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview conducted with Dennis Robeniol, Executive Director. A copy of the report was provided.