complaint·October 4, 2023

During the course of the investigation LPA reviewed documents including the Smartcare pendant call log dated 09/25/23 and 09/26/23. Per Smartcare pendant call log the average staff respond time ranges from one minute to 59 minutes. Regarding the allegation that facility’s signal system is not functioning properly, the investigation revealed the following: Three of four residents interviewed denied the allegation. Per interviews conducted with residents it was reported that the signal system does not always work but that if the pendant is not working properly that staff will replace it within 15 minutes. It was reported via interviews by Staff 1 (S1) that sometimes the pendants do not work properly but that it will get replaced right away. Per S1 the signal system has been working properly. Based on LPA's observation and information gathered during the investigation, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed UNSUBSTANTIATED. LPA Ramirez conducted an exit interview with ED Goodwin, and a copy of this report was provided to the facility.