Complaint·March 3, 2023

Facility Roster shows there are 24 caregivers that work in Memory care unit and 16 caregivers in Assisted Living. Facility Task sheets indicate that resident 1 had daily status checks every two hours. According to staff interviews Caregivers that are scheduled to Assisted Living also help out in Memory Care wing. Staff interviews revealed that Facility hasn’t had a need for outside staffing agencies since July 2022. Resident interviews revealed that three out of four Residents feel there is always staff available to assist them in Memory care unit. Residents interviewed were all aware they were residing in a Residential Care Facility. During visit on 1/12/23, LPA observed Five Care staff assisting in Memory care unit as well as Executive Director and Health Services Director. Based on conflicting information provided from interviews LPA is unable to determine if the alleged violation occurred as reported. . We have found the complaint allegation is UNSUBSTANTIATED, although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation occurred as reported. This report is being reviewed with administrator and a copy of this report along with a LIC 811 confidential names list was left at the facility.