complaint·December 21, 2023

It was alleged that the facility staff are not properly trained. LPA De Perio conducted a total of 9 interviews, of which all 6 resident interviews, and all 3 staff interviews did not corroborate with the allegation. All 6 resident interviews also confirmed that there were no health or safety concerns regarding staff and their training. Per documentation review, each staff member undergoes training that consists of hands-on orientation and shadowing, video tutorials, completion of tests and certifications. It was alleged that the facility does not provide activities to residents. LPA De Perio conducted a total of 9 interviews, of which all 6 resident interviews, and all 3 staff interviews did not corroborate with the allegation. During the tour of the physical plant of the facility, LPA De Perio observed that there is an activity calendar posted in the hallway of the facility and at the front desk for the entirety of the month. Per activity calendar, there are ongoing daily activities both in the assisted living and memory care portion of the facility, and is led by the facility activities director. Per documentation review, LPA De Perio observed photos of residents engaging in activities at the facility such as participating in games, pet therapy, arts and crafts, music, and outdoor activities. It was alleged that there is lack of care and supervision. LPA De Perio conducted a total of 9 interviews, of which all 6 resident interviews, and all 3 staff interviews did not corroborate with the allegation. 4 of the resident interviews specified about how “great” the staff was and disclosed their satisfaction with the facility. Per documentation review, it was observed that if a resident needs medical care or an evaluation, the facility contacts the resident’s medical team in a timely manner. 1 interview conducted with staff also specified that regardless of the staff’s position, each staff is trained on caring for a resident, reporting requirements and trained on obtaining medical assistance. It was alleged that facility is understaffed. LPA De Perio conducted a total of 9 interviews, of which all 6 resident interviews, and all 3 staff interviews did not corroborate with the allegation. All 3 staff interviews and 2 resident interviews specified that if there is a call-out for a care staff, the facility administrator, Health and Wellness director, or additional personnel with the qualifications, will obtain the shift to ensure coverage is met in the area needed. Per documentation review of the staff schedule, and monthly schedule from August 2023 to October 2023, LPA observed that there was a minimum of 2 caregivers, 2 med-techs, and 1 nurse, per shift. For night supervision, it was also observed that there is a designated staff member on-call to attend to the facility if needed. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with CRD Melendez and BOM Castro. A copy of this report was provided and explained.