complaint·November 4, 2024

One (1) staff stated that R4 is known to make a mess when they use the bathroom, however, staff promptly clean R4 room as much as necessary. LPAs did not observe any feces anywhere in R4 room during the entire visit nor any of the others rooms inspected. There is no evidence to support this allegation. Allegation: Facility retaining bedridden residents without approved fire clearance. It is alleged that the facility is accepting and retaining bedridden residents without fire clearance. LPAs interviewed four (4) staff and all four (4) staff stated they have no bedridden residents at the facility at this time. LPAs interviewed seven (7) residents including the four (4) mentioned in the allegations and seven (7) of seven (7) residents were unable to corroborate the allegations. All seven (7) residents stated they are able to get in and out of bed on their own. Medical documentation for the four (4) residents alleged to be bedridden showed that they are all non-ambulatory. LPAs observation did not observe a health or safety hazard for the residents at the time of visit. There is not enough evidence to substantiate this allegation. Allegation: Facility staff not equipped to care for residents. It is alleged that facility staff are not properly equipped to assist in lifting residents. LPAs interviewed four (4) staff and all four (4) staff denied the allegation. Administrator stated that the facility is not required to have a Hoyer Lift or back brace support for staff because they don't do any lifting of any of the residents. All they do is assist in changing the residents and assist with transferring. Administrator stated they do not lift any resident. LPAs interviewed seven (7) residents and four (4) our of seven (7) could not corroborate the allegation. 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 . An exit interview was conducted and copy of report was left with the Administrator.