complaint·April 26, 2024

This is an amended report (continued from LIC9099) On 4/3/2024 LPA conducted interview with Executive Director (ED) Dorice Redman. ED stated that she started working at the facility in March of 2024. ED made no disclosures regarding allegation. LPA attempted to interview the Reporting Party (RP) twice by calling the phone number provided on 4/2/2024 at 1:31 pm and again on 4/3/2024 at 10:13am. LPA was told to expect a call back by the end of the day on 4/3/2024. LPA did not receive a call back. On 4/3/2024 LPA conducted interviews with Executive Director (ED) and facility staff. No disclosures were made regarding the allegation. LPA interviewed Resident 1 and Resident 2 who resided at the facility during the time of the allegation. No disclosures were made regarding the allegation. LPA could not interview the Alleged Victim (AV) because they passed away in December 2020. LPA obtained copies of the following files: resident roster, staff roster, staff schedule, incident reports, pre-placement appraisal, needs assessment, needs profile and physician's report. Based on record review, LPA determined R1 was diagnosed with dementia and required checks at approximately 12am, 2am, 4am and 6am. Based on interview with Staff 1, it was stated that R1 was checked on at approximately 4:30am on 12/12/2020 and that is when the resident was found on the floor. Based on interviews conducted and records reviewed LPA determined that the facility conducted their nightly checks and Staff 1 discovered Resident 1 on the floor. Therefore, there is insufficient evidence to indicate that this occurred as a result facility negligence. Although the allegation(s) may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and this report was reviewed with Executive Director. A copy of this LIC-9099 was provided to the facility.