complaint·February 9, 2023

Allegation: Resident's needs are not being met. It is alleged that caregiver staff are not providing proper care for resident (R1) because the resident's walker is not placed by the bed, and staff are not helping the resident. As a result, on December 16, 2022 R1 fell during early morning hours and hit their head. The resident was transported to the hospital for observation. It is alleged that a camera was set up in the room that showed caregivers moving the resident's walker away from the bed. Based on observation, during the facility visits no cameras were observed in the resident's room. A total of 11 residents were interviewed; all stated their needs are met. Resident (R1) was not interviewed due to mild cogni tive impairment. Family stated the resident's needs are being met. A total of 7 staff were interviewed; of which all denied the allegation and stated that R1 is able to get out of bed. Therefore, staff put the walker next to the bed, or on the foot of the bed. The wheelchair is placed along the wall by the foot of the bed. The resident prefers the wheelchair for dining room transport, but R1's daughter does not want the resident to use the wheelchair. The resident uses the walker to go to the bathroom. Both the walker and wheelchair were observed near the resident during both visits. There is insufficient evidence to corroborate the allegation. Allegation: Staff do not ensure that facility is free of roaches. It is alleged that the facility has cockroaches in resident rooms. Based on observation, the findings indicate that the cockroach problem has been addressed. During the 12/22/22 and today's visit no cockroaches were observed in resident rooms, kitchen, dining room, and common areas. A total of 13 resident rooms [115, 116, 117, 118, 119, 121, 204, 207, 215, 216, 217, 303, 317] were inspected. It was reported that resident (R1's) room had cockroaches by the internet box. Staff interviews revealed that during Summertime one (1) resident in the 3rd floor had cockroaches that traveled directly below via electrical wiring to the 2nd and 1st floor rooms below the 3rd floor room. As a result, pest control services were contracted in September 2022. R1's room was treated beginning October 2022- to present. A total of 10 rooms are treated per month. In addition, maintenance staff sprays rooms in between scheduled pest control company treatments. Administrator provided proof that the facility is addressing previous cockroach issues, and there are presently no rooms identified with active cockroach infestation. Therefore, there is not sufficient evidence to corroborate the allegation. See LIC 9099C for report continuation. Allegation: Facility is unkempt. It is alleged the facility is not clean because of the cockroach issues in R1's room. Family stated that the facility was not clean six months ago, but there are currently no issues with facility cleanliness. Eleven (11) out of 11 residents interviewed stated the facility is clean and their rooms are cleaned as required. Staff stated housekeepers deep clean the residents rooms once a week, and caregivers additionally clean the rooms if needed. The trash is taken out everyday by caregivers or housekeepers. Staff stated that there several independent residents that do not want staff to clean their room, but staff clean the room when the residents are not inside. Resident (R1's) room was observed clean and orderly during both visits. Allegation: Resident's nutritional needs are not being met. It is alleged that resident (R1) is not being provided Ensure drinks that are purchased by family, and the resident's nutritional needs are not met because R1 does not always eat all the food served. The findings indicate the resident is on a regular chopped diet that is supplemented by Ensure drinks per family request. Staff stated that the Ensure drinks are provided to the resident during breakfast and dinner meal times, as a way to make sure R1 is drinking the Ensure bottles. Family does not have any concerns about the resident's nutritional needs. All residents interviewed stated their nutritional needs are being met, and have no food complaints. Based on record review and interviews conducted there is insufficient evidence to prove the allegations. 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 was conducted with Business Office Manager Andrea Lopez. A copy of the report was issued.