complaint·April 10, 2023

This department has investigated the complaint alleging that staff do not provide care and supervision to resident(s) during the night. LPA conducted record reviews and interviews which consisted of 2 staff and 4 residents. LPA reviewed the following documents such as but not limited to: the resident roster, staff roster, staff schedule, the facility admission agreement, the resident’s physician report, and further documents regarding supervision at night such as the nightly bathroom log. LPA also conducted a total of 6 interviews of which 1 interview was unable to be conducted due to unavailability, and the remainder of the 5 interviews did not corroborate with the allegations due to reporting that the facility staff provides each resident with a call button to utilize to notify staff if assistance is needed. 1 of the interviews also added that the staff present at night will check on residents a minimum of twice a night. When LPA conducted a tour of the facility, LPA tested all the resident call buttons and observed that all buttons were functional and operational, and that once the button was pressed, an alarm will sound throughout the facility to notify staff. Based on observations and review of documents obtained, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This department has investigated the complaint alleging that staff are not ensuring that resident's toileting needs are being met while in care. LPA conducted record reviews and interviews which consisted of 2 staff and 4 residents. LPA conducted a total of 6 interviews, of which 1 interview was unable to be conducted due to unavailability, and 5 of the remaining interviews did not corroborate with the allegation. LPA reviewed the following documents such as but not limited to: the resident roster, staff roster, staff schedule, the facility admission agreement, receipts of toiletry supplies, bathroom log from August 2022-February 2022, and the resident’s physician report. LPA also conducted a tour of the interior portion of the facility and observed that the facility had an adequate supply of toiletry supplies (such as: diapers and pads), which is located inside the facility and in the garage. Based on observations and review of documents obtained, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. For this visit, no citations were issued. An exit interview was conducted and a copy of this report was provided to the facility.