complaint·January 16, 2025

In regards to the allegation "Staff do not observe residents for change in condition", it is alleged that R1 has had changes in their condition not observed and addressed by staff. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Residents interviewed could not corroborate the allegation. Staff interviewed stated that R1 and all residents are observed by staff daily. If there are any concerns of changes in their conditions, it is addressed with medical staff. If needed, individual service plans are also updated. Staff interviewed stated that R1's service plan is current and address their needs and services. R1 was not able to express having any issues with their needs and services. Residents interviewed stated that staff are observant of any health issues regarding the residents. File review of R1's needs and services plan shows to have been last updated on 12/7/24. Based on LPA's interviews, observations, and file review the investigation revealed that ; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation "Staff do not assist a resident with grooming" it is alleged that there is a resident who walks around in diapers because staff are not meeting their grooming needs. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Residents interviewed could not corroborate the allegation. Interviews did not show there being a resident who walks around the facility in their diaper. Staff interviewed stated that all residents who need grooming assistance will receive it from staff. LPA was not provided further information about any resident who walks around the facility in a diaper. Based on LPA's interviews, observations, and file review the investigation revealed that ; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation "Staff do not answer residents' call buttons in a timely manner" it is alleged that staff take 30 to 50 minutes to assist R2 when they press their call button. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Residents interviewed could not corroborate the allegation. Staff interviewed stated that R2 is listed as a 2-person assist, meaning there needs to be 2 caregivers available for assisting with mobility when needed. In some instances it may take longer than 10 minutes to get 2 caregivers into R2's room when there are other residents who need assistance as well but it does not take longer than 30 minutes. Residents interviewed did not have issues with the response times of the staff and stated that they arrive in a timely manner. interview with R2 did not state they had issues with the staff response times either. LPA reviewed the call button response times for R2 and observed an average response time of 11 minutes. Based on LPA's interviews, observations, and file review the investigation revealed that ; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continued on LIC 9099-C In regards to the allegation "Staff did not provide resident with housekeeping services" it is alleged that staff are not cleaning R2's room. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Residents interviewed could not corroborate the allegation. Staff stated that it is facility policy to provide housekeeping services to residents. Rooms are cleaned weekly and any additional assistance can always be requested by the residents. Residents interviewed stated that staff do provide housekeeping services and have no issues with the services. LPA observed housekeeping staff going through residents rooms during the time of the visit. LPA entered R2's room along with other rooms while touring the physical plant and did not observed unattended messes. The facility was clean and in good repair. Based on LPA's interviews, observations, and file review the investigation revealed that ; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation "Staff did not safeguard a resident's personal belongings" it is alleged that a resident had 70 dollars taken from their room due to lack of supervision. (7) of (7) Staff interviewed denied the allegation. (10) of (10) Residents interviewed could not corroborate the allegation. LPA was not provided with specific information regarding who was the resident who had money missing or who could have taken it. Interviews with staff and residents did not provide any names of an individual having 70 dollars taken from them by either staff or another resident. Interviews with staff stated that any reports of missing or stolen items are investigated and local police is contacted. Based on LPA's interviews, observations, and file review the investigation revealed that ; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted with Administrator Laura Rodriguez and a copy of this report was provided.