complaint·October 23, 2025

The investigation revealed the following: regarding the allegation “Staff did not assist resident in a timely manner.” It is alleged staff are not assisting residents in a timely manner when residents push their pendant for assistance. Six (6) out of the six (6) residents interviewed corroborated this allegation. Resident interviews revealed that staff take between 10 mins to 45 mins to answer pendant calls. Record review of Pendant call logs from October 01, 2025, revealed the following: at 11:44am, R3 pressed their pendant for assistance and staff arrived 1hr 8mins 2 seconds later, at 6:50am, R1 pressed their pendant for assistance, staff arrived 41 mins 2 seconds later, and at 7:42am R2 pressed their pendant for assistance, and staff arrived 29mins 23seconds later to assist. Review of Pendant call log for October 14, 2025, revealed the following: at 7:22am, R6 pressed their pendant for assistance and staff arrived 1hr 58mins 18 seconds later, and at 7:51am, R3 pressed their pendant for assistance and staff arrived 1hr 38mins 40 seconds later to assist. Staff interviews corroborated the allegation. Staff interviews revealed that due to staffing absences, some residents are waiting longer than 5 mins for assistance. Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . One (1) deficiency was cited during this complaint investigation. Exit interview was conducted. A copy of this report, 9099-D and appeals rights was provided.