Complaint·July 26, 2023

CONTINUED FROM FORM LIC9099 - Regarding the allegation that Staff handled residents in a rough manner, the following has been concluded: The evidence gathered based on interviews conducted with staff and residents as well as observation conducted during the facility visit was insufficient to establish a pattern or habits of rough handling. Four residents interviewed confirmed that they were being treated well. The account was corroborated by additional witness interviews. As a result, the allegation is Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. Regarding the allegation that Staff injured resident while in care, the following has been concluded: Resident R1 was alleged to have received injuries as a result of their treatment by facility staff. A review of the resident's records kept at the facility showed that the resident was seen at least twice a week by a hospice nurse for a full assessment following R1's admission into hospice on or around April 14, 2023. Twenty-three (23) reports were reviewed, with no mention of an injury caused by staff. Photographs of bruising on the resident's hands was provided but could not directly be linked to a known cause. An instance of a fall was mentioned, but did not appear to involve staff responsibility. Therefore the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. A Technical Violation Advisory Note is however issued to the facility as the fall was not reported to the Department. Regarding the allegation that Staff yell at residents in care, the following has been concluded: All residents present at the facility were interviewed and denied ever witnessing instances of staff yelling at themselves or other residents in care. Residents are however all diagnosed with varying levels of cognitive impairment making a definitive assessment difficult. Their account were corroborated by additional witness interviews by individuals with frequent knowledge of the facility. The allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. Regarding the allegation that Staff is not meeting residents' needs, the following has been concluded. Allegation was made in regard to resident R2 not receiving adequate assistance during meals to receive sufficient nutrition in regard to her needs. CONTINUED ON LIC9099-C CONTINUED FROM FORM LIC9099-C Resident R2 was interviewed at the facility and stated that she was receiving sufficient assistance and enough food according to her hunger levels. She was additionally observed asking staff about mealtime on multiple occasions by LPA during the visit, as well as receiving sufficient attention and nutrition during the lunch served in the presence of LPA. Additional witness W1 confirmed that she had observed multiple meals and corroborated the observation. The allegation is therefore also found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.