complaint·June 9, 2023

Regarding the allegation: the facility has insufficient staff, 13 of 13 individuals interviewed provided conflicting statements and could not corroborate the allegation. 10 of 13 individuals interviewed felt the facility had sufficient staff to meet the needs of the residents in care. Regarding the allegation: the facility provided inadequate incontinent care to resident, 13 of 13 individuals interviewed provided conflicting statements and could not corroborate the allegation. During the visit dated May 12, 2023, LPA Velazquez observed 3 Caregivers attending to R1's incontinent needs. Per one of the Caregivers, R1 is changed regularly and no less than every 2 hours. The Reporting Party indicated the facility has improved with the incontinent care provided to R1. Regarding the allegation: the Administrator does not respond to the responsible party concerns regarding residents care, 13 of 13 individuals interviewed provided conflicting statements and could not corroborate the allegation with many stating the Administrator has been responsive regarding a resident's care. The Reporting Party stated communication with the Administrator has also improved since the complaint was originated. Based on the observations made by LPA Patricia Velazquez, interviews which were conducted and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the following allegations: The facility has insufficient staff, The facility provided inadequate incontinent care to resident, and The Administrator does not respond to the responsible party concerns regarding residents care, are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Melanie Washington and a copy of this report was provided at the time of this visit.