complaint·December 12, 2023

The investigation revealed the following: Regarding the allegation "staff did not ensure the resident was accorded privacy during her phone conversation", it is alleged that the Assistant Administrator eavesdrop on a Resident 1 (R1) calls with the ombudsman. Assistant Administrator and staff denied the allegation. Residents interviewed could not corroborate the allegation. Regarding the allegation " staff spoke inappropriately to resident in care " and " facility staff harasses resident" , it is alleged that a staff belittles, stares down, gives evil looks, and intimidates Resident 1 (R1). Assistant Administrator and staff denied the allegations. Residents interviewed could not corroborate the allegations and 3 residents stated that R1 was the one insulting and harassing the staff. Regarding the allegation "facility staff did not protect resident from being inappropriately touched by another resident", it is alleged that Resident 3 (R3) inappropriately touches Resident 1 (R1). Assistant Administrator and staff denied the allegation. R3 denied the allegation and stated that R1 falsely accuses R3 whenever R3 does not get R1 alcohol. Residents interviewed could not corroborate the allegation and 2 residents stated that R1 mistreats and harasses R3. Regarding the allegation " resident’s hair was pulled by another resident due to lack of supervision ", it is alleged that Resident 2 (R2) pulled Resident 3 (R3) hair for no reason and staff did nothing. Assistant Administrator showed the LPA a video footage of the incident with a date and time of 10/09/2022 at 9:58pm. According to the surveillance video, a staff is observed escorting R1 back to the room in a wheelchair. At the same time, R2 is observed coming in the direction of R1 (from the opposite side) also in a wheelchair. R2 is observed suddenly reaching over with the right hand and pulling the hair of R1. The staff is observed immediately intervening and breaking up the incident and separating both residents. After the incident, the staff is observed continuing to escort R1 back to the room. Although the incident did occur, R2's action was so sudden and unpredictable for the staff to prevent the incident from happening, but the staff quickly intervened and prevented the fight from escalating. This allegation was previously investigated in complaint control number 28-AS-20221014123935 and the allegation was found unsubstantiated. (Continued to LIC 9099-C) Regarding the allegation " facility staff did not safeguard resident’s belongings ", it is alleged that Resident 1 (R1) personal belongings were stolen from R1's room. Assistant Administrator and staff denied the allegation. Residents interviewed could not corroborate the allegation. Regarding the allegation " facility staff does not provide adequate amount of food ", " facility staff does not serve nutritious meals" and " facility staff does not follow food menu" , it is alleged that the facility does not serve enough food to the residents, the food is not healthy because it is all carbs, and the menu is not being followed. Assistant Administrator and staff denied the allegations. Staff 1 (S1) who is the cook stated that an adequate amount of food is served and they follow a menu created by a certified nutritionist. Their food contains proteins, carbs and veggies. The residents are notified in a timely manner if there are any modifications to the menu to give them a chance to decide if they want to order something from the alternative menu. Residents interviewed could not corroborate the allegations. During the tours of the kitchen and dining room, the LPA observed an adequate amount of food being served that consisted of proteins, carbs and veggies. 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 and a copy of the report was provided