complaint·December 5, 2024

In regard to the allegation that “Staff hit resident resulting in a bruise” the department previously investigated this allegation on 09/23/2024 and it was found to be unsubstantiated. LPA reviewed records, interviewed residents, and staff and no additional information was given. In regard to the allegation that “Staff do not ensure that resident's personal items are safeguarded” it is alleged that R3 goes into residents’ room and steals money. During interviews with residents seven (7) out of ten (10) residents state they have not had any items missing from their rooms. One (1) resident R7 was in hospital and one (1) resident R1 was confused at time of interview. R5 stated that his/her roommate steals their clothes to sell. During interviews with staff four (4) out of seven (7) staff have not heard about items missing from resident’s room. S6 and S7 state that one resident was missing wallet but was unsure of where wallet was left. S6 states that R3 doesn’t steal and is very helpful to residents. In regard to the allegation that” Staff did not prevent resident from inappropriately touching other residents ‘it is alleged that a resident goes into females’ rooms and touches them and has forced residents to kiss them. During interviews with residents eight (8) out of ten (10) residents state they have never witnessed any inappropriate touching between residents or been touched. One (1) resident R7 was in hospital and one (1) resident R1 was confused at time of interview. During interviews with staff six (6) out of seven (7) staff indicate they have never witnessed any inappropriate touching between residents. S6 stated that there are couples in the facility and that they do hang out like boyfriend and girlfriend. S7 stated there is holding hands between couples but it is consensual. In regard to the allegation that “Staff do not speak to residents in a respectful manner” it is alleged that staff does not treat residents with respect and are mean to them. During interviews seven (7) out of ten (10) residents stated that staff talks to them with respect. One (1) resident R7 was in hospital and one (1) resident R1 was confused at time of interview. R9 stated “some do some don’t”. During interviews with staff six (6) out of seven (7) staff stated that staff speak to residents with respect. S5 stated that one staff was let go for not speaking to residents with respect. SEE 9099C In regard to allegation that “Staff did not ensure resident medications are properly managed” it is alleged that medications are not being ordered and that medicated shampoo for R9 is not available. During interviews with residents seven (7) out of ten (10) residents stated they get their medication when needed. One (1) resident R7 was in hospital at time of interview and one (1) resident R1 was confused at time of interview. R9 stated sometimes medication are late but that he/she has medicated shampoo in his/her room. Interviews with Four (4) staff reveled that only MedTech’s handle medication so they would not have any knowledge of medication. Interviews with two (2) staff stated that all medication is given and ordered on time and that the only delay would be if Drs. Approval is needed for refills. LPA conducted random check on five residents’ medication and no errors were observed at time of visit. In regard to the allegation that “Staff do not provide residents with a sufficient amount of food” it is alleged that residents are given small portions of food and that residents are always hungry. During interviews with residents seven (7) out of ten (10) residents state there is enough food. One (1) resident R7 was in hospital and one (1) resident R1 was confused at time of interview. R9 stated” there is enough food, but I really don’t like it” R10 stated “There is enough for me. I can ask for more”. During interviews with staff five (5) out of seven (7) stated there was enough food. S2 had no knowledge of food supply. S3 stated that “we have never not had enough food”. S5 stated that they even get food to take to their rooms. LPA toured kitchen and food supply during time of visit and sufficient food supply was observed. Based on interviews conducted and records reviewed, there is insufficient evidence to support 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. An exit interview was conducted and copy of this report was left with the Wellness Director Ruth Villa.