complaint·April 15, 2024

Based on interviews with 3 out of 6 residents they reported that the facility takes care of them but 2 out of 6 reported they do not have activities for the residents. 3 of the residents were unable to be interviewed as 1 resident was hard of hearing, 1 resident was bedridden and asleep and the final resident was not oriented to time and space. Based on interviews with 3 out 6 residents stated they are put to bed around 7 pm, but they are not required to sleep. Based on interviews with 3 out of 3 staff indicate that the staff is available at all hours of the day and the facility utilizes a call system which is taken to staff's room at bed time. Per review of physician report dated 05/25/2022 stated that Resident 1 (R1) had a Stage 2 wound on their coccyx, no mention of any other wound. Per interviews with Licensee/Administrator Adela Albu, Adela stated that R1 only had 1 pressure injury at time of admission. Therefore, based on the preponderance of evidence through records reviewed and interviews the allegations that facility staff are not meeting resident's needs and facility retained a resident with an unstageable pressure injury are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report was provided to facility Administrator.