complaint·October 6, 2022

Interviews show that R1 was taken to the hospital in November 2020 and did not return to the facility. According to interviews, the last update was that the resident was transferred to a skilled nursing facility. Interviews do not show that R1 had a witnessed fall or that R1 went to the hospital because of a fall. Review of incident reports shows that R1 was taken to the hospital on 11/27/20 for weakness and confusion. Documents do not show R1 had a fall in the facility. Review of documents does not show that R1 has a responsible party on file as they are self responsible. Based on interviews and file review conducted, there was not enough supportive evidence to concur with the reported allegation. 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 verbally abused resident", it is alleged that S3 yelled at R1 while R1 was on the phone. (5) of (5) staff interviewed denied the allegation. (11) of (11) Residents interviewed could not corroborate the allegation. Interviews do not show that S3 yelled at R1. LPA was not provided with a date on when alleged incident would have occurred. LPA was unable to interview R1 to verify information. Based on interviews conducted, there was not enough supportive evidence to concur with the reported allegation. 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 "Licensee did not accommodate resident's privacy during telephone call ", it is alleged that S3 and S4 did not allow R1 privacy while R1 used the phone and took R1's phone away. (5) of (5) staff interviewed denied the allegation. (11) of (11) residents interviewed could not corroborate the allegation. Interviews do not show that staff invaded R1's privacy on the phone. S4 denies ever taking R1's phone. LPA was not provided with a date on when alleged incident would have occurred or further information. LPA was unable to interview R1 to verify information. Based on interviews conducted, there was not enough supportive evidence to concur with the reported allegation. 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 and a copy of this report was provided.