complaint·April 9, 2024

Records reveal that on average facility has seven to eight Caregivers in the AM shift, five to six Caregivers in PM shift and three during NOC shift. Records also reveal that facility has on average staffing ratio of 9:1 during AM shift, 11:1 during PM shift and 17:1 during NOC shift. LPA made the following observations during investigation; Facility is a Residential Care Facility for the Elderly that specializes in Memory care. Facility has capacity of 82. During investigation visit on 3/11/24 facility had a census of 51 and on todays date census of 48. During visit on 3/11/24, LPA observed 13 care staff assisting residents in facility. LPA observed that facility is divided into three neighborhoods for residents: Newport, Country Kitchen and Lido. During investigation it was revealed to LPA that staff are assigned to each neighborhood. During visits LPA observed residents relaxing in bedrooms watching TV, relaxing in common area dining rooms eating meals, and being assisted by staff in hallways & outside patio areas. Interviews with staff and residents were conducted and revealed the following, seven of seven staff interviewed stated that facility has three shifts per Caregivers and that caregivers are assigned to one of three neighborhoods inside facility. Interviews with staff revealed that five of five Caregivers stated they assist residents with Activities of Daily Living (ADL’s) such as showering, toileting, making bed’s, dressing, feeding, and transporting. All staff interviewed confirmed that no residents or family members have expressed recent concerns about the quality of care provided to residents. Interviews with Residents revealed that five of five residents stated that they had no complaints about staff members that they like the staff, staff are available when they need, and two of five residents stated that the facility is meeting their care needs. Interview with family witness confirmed that they had no issues with staffing and felt that the level of care was meeting residents needs. Based on observations made by LPA, interviews conducted, and records 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: Staff are not providing adequate care to dementia residents is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Heather Younan and a copy of this report was reviewed and provided at the time of this visit.