complaint·July 20, 2021

The investigation consisted of the following: Interviews with Business Office Director Ana Cardona, Health Services Director Jamie Pyles, staff (S3-S7) and residents (R1-R10). LPA obtained client roster, staff roster, daily menus for March and April, Alternate Menu, records review for R1 and R9, Assisted Living shower schedule and end of shift reports for March and April. A plant inspection was conducted of the facility on 04/13/2021. The investigation revealed: Allegation: Resident care needs are not being met. LPA conducted interviews with residents (R1-R10). Residents (R1-R10) stated they have no issues with their needs being met. Residents (R1-R10) stated they get help in a timely manner when they call for help from staff. Residents (R1, R3, R9) had no issues with shower service. Residents (R1-R10) stated they receive three meals breakfast, lunch and dinner per day and have an alternate menu should they not want to eat what is on the daily menu. Staff (S1-S7) stated they met all the residents needs during their shifts. Staff (S1-S7) have no issues responding to residents in a timely manner and residents have a pendant to push for immediate help. Staff (S1-S7) follow the weekly shower schedule for each resident during their shift. Staff (S1-S7) stated all residents are entitled to breakfast, lunch and dinner and have a choice of an alternate menu each meal. Staff (S1, S3-S5) stated they discard medication needles immediately after use. Based on the interviews conducted, observation and records reviews, LPA was unable to find evidence to support the allegation. Based on LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. 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 with Ana Cardona and a hard copy was provided for signature.