Complaint·April 16, 2021

On 10/21/19 staff moved R1 to a larger room. R1 did not like that room after a few days and asked to be moved back to the smaller room. Allegation #2- Facility staff failed to safeguard resident’s belongings. R1 notified staff on 4/11/20 of missing undergarments. R1 asked staff to assist in locating the garments. Staff could only locate 3 garments and offered to pay for more garments. Allegation # 3- Facility staff is not assuring resident has access to meals. Based on complaint intake, reporting party stated that R1 was not escorted to breakfast, lunch and dinner by staff. Records reviewed disclosed that from 12/12/19-3/22/20, R1 refused to be taken to the dining room 51 times. R1 was given a free tray service or at his preference, order take out. According to interviews, R1 did not want certain staff to escort him to the dining room and if they showed up to his door he would refuse. R1 would also refuse if not taken to meals 10 minutes before meals were served. Allegation #4- Facility staff are not properly transporting resident R1 was assisted by staff to the dining room. Statements provided disclosed that sometimes R1’s walker would bump into doors or walls when entering rooms as R1 liked to walk through unassisted. On 2/27/20- R1 disclosed that staff let him run his hands into the door of his room. On 3/9/20 R1 hit the door with his elbow. No injuries were noted according to Progress notes. Allegation #5- Facility staff failed to intervene in verbal altercation between residents On 1/14/20, documents disclosed that R1 and R2 became involved in a verbal altercation. R1 began to yell at R2 and staff had to intervene. R2 was escorted out of the dining room and moved to a different table. Allegation #6- Facility staff threatened to evict resident Statements and progress notes were reviewed. Documents disclosed that when R1 would become upset and disrespect staff, they would ask R1 why he was still living at the facility if he was unhappy with the services provided. Allegation #7- Facility is in disrepair Statements and progress notes were reviewed. According to progress notes, R1’s slider door was not locking correctly and R1’s key was getting stuck in the door lock. Facility maintenance fixed the door and the lock. Based upon interviews and a review of R1's records, these allegations are unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator Briana Boyd via telephone and a copy of this report was provided via email for signature. Ms. Boyd agreed to sign and return report.