complaint·January 30, 2024

R1 had a change in condition and became wheelchair bounded. Per AD R1 did not have a fall due to lack of supervision. During the investigation LPA reviewed documents including the staff schedule dated January 2024. Per staff schedule on average there is one medication technician and two caregivers for the morning and evening shifts and one medication technician and one caregiver for the night shift for 21 residents in care. Based on the information gathered during the investigation, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Therefore, the allegation has been deemed to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred. LPA Ramirez conducted an exit interview with AD Flores, and a copy of this report was provided to the facility.