Complaint·August 2, 2022

A plant inspection of the facility was conducted. Investigation revealed: Allegation: Facility does not provide a safe environment for residents in care. During the course of the investigation, LPA was unable to find any witnesses, documentation or evidence supporting the allegation above. LPA interviewed residents (R1-R11) who did not express any concerns about a safe environment while in care. Staff (S1-S6) stated staff feels resident’s are given a comfortable living environment and the facility provides a safe environment for all residents in care. Witness (W2) is the conservator for R1 and stated W2 visits monthly and has no concerns about the safety for the resident. LPA reviewed training documents and did not observe the facility to have issues with safety during the plant inspection. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Residents have sustained unexplained bruising while in care. It is alleged that residents have sustained unexplained bruising while in care. During the course of the investigation, LPA was unable to find any witnesses, documentation or evidence supporting the allegation above. During interviews with residents (R1-R11), they did not express any concerns about sustaining any unexplained bruising while in care. Resident (R1-R11) had no issues with any staff helping them with their care. Staff (S1-S6) stated they have no apprehensions of residents who may sustain an unexplained bruise while in care. If a resident sustained an unexplained bruise while in care, staff would follow protocol and report to the nurse who would then document the unexplained bruising. Witness (W2) stated W2 has not had witnessed or seen any unexplained bruises on residents. LPA did not observe any resident’s with bruising upon interviews or plant inspection. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Facility staff do not have proper training. It is alleged that the facility staff do not have proper training. During the course of the investigation, LPA observed and reviewed a copy of the annual log book training for each month of the year. Administrator stated there is an “all staff” in service training every month with in person and videos on various topics. Administrator stated the training in the log book each year are similar in topics by month if not the same as the year prior. Staff (S2-S6) stated they have training every month which may include RN speaking, watching videos, computer, taking quizzes and receiving pamphlets of information. LPA obtained and reviewed copies of the training with staff signatures. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.