complaint·March 4, 2024

Prior to the visit LPA conducted interviews with R4 and R5 responsible parties and shall be referred to as Witness #1 (W1) and witness #2 (W2). LPA attempted to contact R6 responsible party three times and left a voice mail. The investigation reveals the following: Regarding " Staff did not meet resident’s care needs in a timely manner”. It is alleged that staff S1 takes 1 ½ to 2 hours to respond to R1’s calls. During the visit LPA interviewed the administrator. The Administrator denied the allegation stating staff has responded to all residents’ calls in a timely manner. 2 out of 2 staff denied the allegation, stating they have always responded in a timely manner, and it takes them no more than 20 minutes. They further stated there are times the residents want them to come right away, and they are bathing another resident. 2 out of 3 residents denied the allegation, stating staff have always responded when they are called at a reasonable time frame. 1 out of 3 residents stated S1 complains when called, but since residents have a call button staff has responded timely. 2 out of 2 witnesses stated they have not observed staff not responding to residents when they are at the facility. The investigation reveals the following: Regarding " Staff spoke in an inappropriate manner to resident”. It is alleged that staff S1 complains about R1 taking too long to use the restroom. During the visit LPA interviewed the administrator. The Administrator denied the allegation stating that S1 is kind and have no issues. 2 out of 2 staff denied the allegation, stating they have always spoke appropriately to the residents. 2 out of 3 residents denied the allegation, stating staff has always treated them kindly. 1 out of 3 residents stated S1 complains when called and don’t like being rushed to use the restroom. 2 out of 2 witnesses stated they have not observed staff speaking inappropriately to the residents. Based on LPA's interviews, investigation revealed: 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 conducted with Teresa Kholoma and a copy of this record provided.