complaint·June 1, 2023

Continues from LIC9099... Based on records review provided by the facility revealed that R1 have been seen in a regular basis by their Physician including hospitalization. However, LPA reviewed incident report logs for this facility, and it was determined that incident reports regarding R1’s hospitalization were not submitted to CCL per regulation. Administrator could not provide proof that incidents were reported to CCL within seven days after occurrence. LPA will address reporting requirements on a case management inspection. Although, incidents including hospitalizations were not submitted to CCL facility provided proof that they had been seeking medical attention for R1 when needed. A finding that the complaint allegation staff refused to seek medical attention for resident is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation of staff made inappropriate comments towards resident. Per online complaint received, it was alleged that staff (no name was provided) has come to R1’s room and told R1 “to be quite because R1 was crazy”. On 4/4/23 and 4/21/23 LPA performed facility visits and conducted confidential interviews with staff and residents in care. Based on interviews conducted with staff and residents in care, statements made to LPA do not corroborate or concerns were raised regarding any staff making inappropriate comments towards any resident. Also, there is no name provided by neither party to support the above allegation. A finding that the complaint allegation staff made inappropriate comments towards resident is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. The last allegation is about staff confine residents to their rooms. Per online anonymous complaint received, the reporting party alleges that they had been told that some residents (no names provided) with dementia are being confined to rooms. On 4/4/23 and 4/21/23 LPA have conducted unannounced visits to the facility, made observations and conducted confidential interviews with five residents and four staff. LPA was unable to find any evidence or indication that this allegation could be supported. A finding that the complaint staff confine residents to their rooms is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit Interview conducted with Executive Director Erlinda Ferris and a copy of this report was given.