Complaint·April 7, 2023

Upon a tour of the facility, LPA found a total of 3 staff pagers located on the first floor to be inoperable. Interview with staff (S1) indicated that the pagers had not been operable for approximately 3-4 weeks. LPA and Director tested call light buttons in resident bedrooms on the first and second floors. Staff responded to the call light on the second floor in a timely manner. However, once call lights were tested on the first floor, no response from staff was observed after approximately 13 minutes. LPA and Director found 2 staff (S2 & S3) providing care on the first floor, none of which were properly equipped with staff pagers to respond to call lights appropriately. Allegation, staff failed to respond to resident care needs is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on LIC9099-D, per Title 22 Regulations, Division 6. Appeal Rights Given.