complaint·January 9, 2025

Allegation: Staff did not provide adequate furniture in room for resident. It is alleged that the facility marketing director promised resident (R1's) responsible party that the Memory Care unit rooms would be fully furnished when the resident moved in and the facility would make arrangements to move R1's furniture from previous Assisted Living residence. According to information obtained, the resident moved in on Monday, December 23, 2024 at approximately 6 PM and the Memory Care unit only had a hospital bed, cabinet, and a lamp, and did not offer the resident a full size bed. As a result, responsible party arranged movers to deliver a full size bed and dresser, but was told by med-tech/staff (S3) and Business Office Manager that the full size could not be moved in. A total of five (5) staff were interviewed, of which all denied the allegation stating R1's responsible party was informed that the room does not come furnished, but the facility would be providing a dresser, bedside table, twin sized bed, and lamp, with the exception of hospice residents. Hospice residents get a hospital bed in their rooms that is ordered by the hospice agency. Marketing Director stated when prospective residents and their families visit the facility for a tour they are always informed the rooms are not furnished, but the facility provides basic furniture as a courtesy if needed. Marketing Director stated that R1's family was never promised a fully furnished room, nor offered to transport the resident's belongings from previous placement. Resident (R1) was transported to the facility by hospice transport arranged by previous placement. Five (5) out of 6 residents stated the facility does not provide fully furnished rooms and they are expected to bring their own furniture. Based on observation, R1's room currently has a queen size bed, bedside table, dresser, and sufficient lighting. The facility provided a copy of the hospice medical equipment order dated 12/21/2024, in which the hospital bed was delivered to the facility per Bristol Hospice order. There is insufficient evidence to corroborate the allegation. Allegation: Staff are threatening not to make resident's bed. It was reported that the Business Office Manager told R1's responsible party that the resident's queen size bed would not be made unless family came in to make the bed. A total of 5 staff were interviewed, of which all denied the allegation by stating that staff in the Memory Care unit make all resident beds regardless of bed size. Staff stated that R1's responsible party disclosed to staff that they wanted a larger size bed in order to sleep there when they visit. Staff stated that they informed the responsible party that family are not allowed to sleep over at the facility unless a resident is actively dying, and as a result R1's responsible party got very upset and was verbally abusive towards staff. A total of 6 residents were interviewed, of which all stated staff assist with bed making if needed. There is insufficient evidence to substantiate the allegation. Allegation: Staff are not properly disinfecting the facility. According to information provided, the facility had a virus outbreak in which many of the residents and some staff had vomiting and diarrhea, but they were not following proper cleaning protocols. Of great concern was that during previous visits earlier in the year the facility had another notice that informed visitors that the building had an outbreak. Based on staff interviews, all staff denied the allegation and stated that the facility had a Norovirus outbreak that began early November 2024 and was cleared December 9, 2024. Therefore, when resident (R1) moved in on December 23, 2024, the outbreak had already been cleared by Department of Public Health, and normal disinfecting protocols were in place. Five (5) out of 6 residents stated that the facility cleaned often during the Norovirus outbreak and have not concerns about facility cleanliness. Allegation: Staff did not interview prospective resident and authorized representative before signing admissions agreement. It is alleged that Administration staff did not meet with resident (R1) and responsible party to discuss paperwork prior to signing admission agreement and moving in. It was reported that the admission agreement was emailed and responsible party with the expectation it would be read and signed. Staff interviews revealed that resident (R1) had been placed on a waiting list for the Memory Care Unit for approximately one year, and when there was a room available they received notification. On November 26, 2024 at 3:30 PM, the Marketing Director met with R1 and their responsible party at the facility to complete an in-person assessment. The Admission Agreement is signed after the facility completes the assessment and provides a copy of a current Physician's Report. All the residents interviewed stated that their loved ones met with Administration staff prior to moving in. Resident (R1's) Admission Agreement was signed on 12/14/2024, and the resident moved in on 12/23/24. Therefore, there is insufficient evidence to corroborate the allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated . An exit interview was conducted and a copy of this report was discussed and provided to facility Administrator Diana Bautista.