complaint·October 28, 2021

In regards to the allegation " staffing is not sufficient to meet residents needs", it is alleged that there is only one staff member present at the facility at 7am when the graveyard shift staff leave. There is no medication aide staff present. Interview with Administrator revealed that there are currently 21 staff members employed at the facility for a total of 30 residents. 5 out 5 staff members interviewed indicated that there are usually 3 staff members present at the facility at 7am including a medication aide staff. 5 out 5 residents interviewed indicated that there are at least 3 staff members present at the facility at 7am. Therefore there was insufficient evidence to corroborate with this allegation. In regards to the allegation " staff are not regularly checking on residents", it is alleged that S1 does not do room checks as required. S1 allegedly completes the room check sheet, but does not do the room checks. 5 out of 5 staff members interviewed denied this allegation. Staff members interviewed indicated that room checks are conducted at least every 2 hours. 5 out of 5 residents interviewed indicated that room checks are conducted every 2 hours. LPA obtained copies of room check sheets completed from the last 2 weeks. Room check sheets show residents are checked on every 2 hours. Therefore there was insufficient evidence to corroborate with this allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, 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.