complaint·February 19, 2025

CONTINUED FROM FORM LIC9099 Regarding the allegation that Facility staff failed to conduct necessary reassessment of a resident , the following has been concluded: Based on records reviewed and interviews conducted, resident R1 was admitted to the facility on October 31, 2023 and discharged in December 2024. During their period of admission, R1's care needs were documented as having been assessed on four instances in October and November 2023 as well as in May and November 2024. Given the presence of private caregivers for twelve hours a day then around the clock, the points-based needs assessment remained the same through R1's admission. Regarding the allegation that Facility staff did not address the presence of a resident assessed to be a danger to themselves and others on the premises , the following has been concluded: Resident R2 was admitted as a secondary occupant to R1's apartment on the same date. Besides documentation of an altercation between R1 and R2 which had been reported to the Department, no evidence of any health and safety concerns posed by R2 were provided during the investigation. Regarding the allegation that Facility failed to notify a resident's responsible party of an incident , incident reports and communications reviewed appear to indicate that each serious incident involving R1's or another resident's health and safety were adequately reported to the Department, R1's primary care physician as well as to R1's responsible party. Regarding the allegation that Resident has been locked in their room by staff , the following has been concluded: Based on records reviewed and interviews conducted, R1's period of admission was spent in Assisted Living. Throughout this period, the resident is described as having retained the ability to attend meals in the dining room as well as attend the outdoor patio, entertainment activities and the facility's pool in addition to frequent outings in the community. No evidence was provided of the resident's freedom of movement being restricted further than the requirement of being continuously attended by facility staff or private caregivers. As a result, all four allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report and confidential names list was provided to facility representative.