complaint·June 25, 2024

Health Services Director states they have been in contact with Department of Public Health, resident families and contacted Licensing regarding covid positives. Staff interviews revealed that facility sends notification letter to residents and responsible parties inside on site mailboxes. Resident interviews revealed that half of residents interviewed confirmed they receive letters inside mailboxes while other half state they could not recall if they receive letters regarding Covid 19 notifications. All residents interviewed confirmed that staff are helpful regarding resident concerns. During visit LPA observed facility has hand sanitizer stations in common areas such as lobby, dining room, activities area, fitness room, cafe area, inside elevators and restrooms on each floor. LPA observed caregiver, dining staff and maintenance staff wearing masks. LPA observed Personal Protective Equipment carts outside of Residents rooms and observed hand washing signs located inside common area restrooms. LPA observed cases of PPE supplies such as gloves, surgical masks, face shields, N-95 masks and sanitizer. LPA reviewed facility notification letter sent out to residents & responsible parties stating that facility is taking steps for residents protection such as offering more hand sanitizer, staff wearing masks, surfaces being cleaned daily, offering in room dining and protocols for residents who have tested positive. LPA reviewed Facility essential precautions which state that residents, staff or visitors will be tested if covid symptoms are observed, routine sanitation of high touch surfaces daily, all suspected cases of covid will be retested 24 hours if symptom's occur. LPA also reviewed reporting requirements which state facility will report outbreaks. LPA observed Incident Reports which were provided by facility reporting cases. Based on interviews conducted, observations made 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 allegation staff are not following infection control requirements is deemed UNSUBSTANTIATED. An exit interview was conducted with Director and a copy of this report was reviewed and provided at the time of this visit.