complaint·February 16, 2023

During today's visit, LPA conducted a tour of the physical plant with Alexander and obtained a copy of the resident/staff roster, staff training conducted on the use of a hoyer lift and the following documents for Residents# 1-8, (R1-R8): Facesheet, Physician's Report, Needs and Services Plan. LPA also requested the following for R1: Physician's order for a hoyer lift and incident reports for R1 for the months of July-August 2020, and interviewed Staff# 1-4 (S1-S4) and R2-R8. The investigation revealed the following: Regarding allegation: Facility is not able to meet the needs of residents due to inadequate staffing. It is alleged that the facility is short staffed to operate safely, with only 2 caregivers for 42 residents. Per interviews conducted, (4) of (4) staff state there are 2 caregivers per shift, with the majority of the residents being independent and requiring minimal assistance with their Activities of Daily Living (ADL). (6) of (8) residents stated that all of their needs are being met. After review of the documents obtained for R1-R8, none of the residents require a 1:1 assistance/supervision. This allegation is unsubstantiated. Regarding allegation: Staff failed to meet resident’s toileting needs in a timely manner. It is alleged that R1 waited for 3 hours to be removed from the commode (toilet) after taking staff 2.5 hours to be taken to the commode. (4) of (4) state that residents are assisted within 5-10 minutes of their requests, and residents who require toileting assistance are regularly checked on every 2 hours. (1) of (8) residents state that they require assistance with toileting and are assisted timely. This allegation is unsubstantiated. Regarding allegation: Facility staff are not competent on how to use a hoyer lift. It is alleged that there is a hoyer lift in the facility, but staff do not know how to use it. (4) of (4) staff state that training was provided via videos and in-person by the assistant administrator and is currently being used for 2 residents. (6) of (8) residents state they do not require transfer with a hoyer and staff assist them by lifting them between 2 caregivers. All residents denied being hurt by transfer or being concerned with the staff training on assistance with transferring them. This allegation is unsubstantiated. Regarding allegation: Facility is unsanitary. It is alleged that a resident observed urine on the floor and the facility smelled like feces. LPA conducted a tour of the physical plant and common areas and observed housekeeping cleaning the hallways and rooms. LPA did not smell or observe urine or feces. (4) of (4) staff state the facility is cleaned daily and as needed. (6) of (8) residents denied the allegation and stated the facility is kept clean and sanitary. This allegation is denied. (Report Continued on LIC9099-C...) Regarding allegation: Facility staff failed to keep the facility in a comfortable temperature for residents. It is alleged that one side of the building is 20 degrees cooler than the other side and the AC is kept running all night making it really cold. LPA observed the electrical room where the thermostats are located and observed 11 thermostats, all set to 76*F. (4) of (4) staff state that if residents have concerns about the temperature, the staff will adjust it to accommodate the residents. (6) of (8) residents denied the allegation and stated that if they have concerns about the temperature, staff will adjust it to accommodate them. This allegation is unsubstantiated. 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 . Exit interview held. A copy of the report was provided to Assistant Administrator Alexander Solorio.