complaint·February 28, 2025

(continued from 9099) The investigation revealed: 1) Staff are mismanaging residents medication. It is alleged that residents are not getting their medications or getting them on time. LPA interviewed eight (8) staff and all eight (8) denied the allegation LPA interviewed ten (10) residents and six (6) of ten (10) residents were not able to corroborate the allegation. LPA reviewed medications for R5 and there were medications missing for dates that R5 was at Hospital. Staff sated they were popped out of the bubble in error and destroyed. Staff provided proof to LPA of medication destruction. There is not enough evidence to substantiate this allegation. 2) Staff are not responding to residents call buttons in a timely manner. It is alleged that residents are not getting their assistance on time. LPA interviewed eight (8) staff and all eight (8) denied the allegation LPA interviewed ten (10) residents and eight (8) of ten (10) were not able to corroborate the allegation. There is not enough evidence to substantiate this allegation. 3) Staff are not following infectious control requirements. It is alleged that some residents are not being required to wear mask when there is a COVID outbreak. LPA interviewed eight (8) staff and all eight (8) denied the allegation. Staff stated they encouraged the residents to wear a mask but cannot required them to wear them now. LPA interviewed ten (10) residents and seven (7) of ten (10) residents were not able to corroborate the allegation. The facility cannot require residents to wear a mask any longer. However, the facility continues to encourage wearing a mask during COVID outbreaks. There is not enough evidence to substantiate this allegation. (continued on 9099C) (continued from 9099C) 4) Staff did not ensure elevators were not in disrepair. It is alleged that elevators are in disrepair. LPA interviewed eight (8) staff and all eight (8) denied the allegation. Some staff stated that the residents tend to crowd the elevator and do not abide by the limit of 3 persons and that it causes the elevator to malfunction at times. Staff stated when the elevators do need repair, they are repaired promptly and never have the two elevators been broken down at the same time. LPA interviewed ten (10) residents and eight (8) of 10 residents were not able to corroborate the allegation. One resident stated that the elevator breaks down because too many people get in them at one time. Some residents stated that facility has them repaired right away. Facility has two elevators, and, on both visits, the elevators were working properly. There is insufficient evidence to support this allegation. 5) Staff are not fixing things in a timely manner. It is alleged that bathroom sink in room 147 is in disrepair and facility has not addressed it. LPA took tour of room 147 and the bathroom sink was repaired and working properly during the two separate visits LPA made. LPA interviewed eight (8) staff and all eight (8) denied the allegation. LPA interviewed ten (10) residents and seven (7) of ten (10) residents were not able to corroborate the allegation. Most residents stated that facility repairs things right away. Residents stated they must put in a work order and facility responses in a reasonable time. There is insufficient evidence to support this allegation. 6) Staff are not meeting resident’s needs. It is alleged that staff do not respond to 24 hour phone when called during overnight hours. LPA interviewed eight (8) staff and all eight (8) staff denied the allegation. One staff stated she has used the phone when trying to get access to facility in the early morning hours to begin her shift and the phone is answered promptly and has never been late due to no one answering the 24-hour phone. LPA interviewed ten (10) residents and six (6) of the ten (10) residents were not able to corroborate the allegation. Several residents stated that all their needs are being met. There is insufficient evidence to support this allegation. (continue on 9099) (continued from 9099C) 7) Staff did not ensure elevators were not in disrepair. It is alleged that elevators are in disrepair. LPA interviewed eight (8) staff and all eight (8) denied the allegation. Some staff stated that the residents tend to crowd the elevator and do not abide by the limit of 3 persons and that it causes the elevator to malfunction at times. Staff stated when the elevators do need repair, they are repaired promptly and never have the two elevators been broken down at the same time. LPA interviewed ten (10) residents and eight (8) of 10 residents were not able to corroborate the allegation. One resident stated that the elevator breaks down because too many people get in them at one time. Some residents stated that facility has them repaired right away. Facility has two elevators, and, on both visits, the elevators were working properly. There is insufficient evidence to support this allegation. 8) Staff are not fixing things in a timely manner. It is alleged that bathroom sink in room 147 is in disrepair and facility has not addressed it. LPA took tour of room 147 and the bathroom sink was repaired and working properly during the two separate visits LPA made. LPA interviewed eight (8) staff and all eight (8) denied the allegation. LPA interviewed ten (10) residents and seven (7) of ten (10) residents were not able to corroborate the allegation. Most residents stated that facility repairs things right away. Residents stated they must put in a work order and facility responses in a reasonable time. There is insufficient evidence to support this allegation. 9) Staff are not meeting resident’s needs. It is alleged that staff do not respond to 24 hour phone when called during overnight hours. LPA interviewed eight (8) staff and all eight (8) staff denied the allegation. One staff stated she has used the phone when trying to get access to facility in the early morning hours to begin her shift and the phone is answered promptly and has never been late due to no one answering the 24-hour phone. LPA interviewed ten (10) residents and six (6) of the ten (10) residents were not able to corroborate the allegation. Several residents stated that all their needs are being met. There is insufficient evidence to support this allegation. Based on observations, interviews with staff and residents and record review, 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 with Madeleine Sievert Administrator. A copy of this report along with the appeal rights was provided.