Complaint·July 29, 2021

Allegation: Personal rights Complaint alleged staff (S3) was yelling at residents in care. On 07/28/2021 LPA Mknelly visited the facility and conducted interviews with staff, S1 and S2 who have been working at the facility for multiple years. Staff denied personal rights of residents were violated. Staff stated they have not witnessed or encountered issues with residents wandering away from the facility. Staff statements and records reviewed indicate residents in which the complaint alleged were transferred out of the community in December 2020 and August 2020 due to change of conditions. Staff stated residents (R1 and R2) were experiencing confusion and wandering but did not go to the extent of exit seeking. Staff also stated during the last year the facility hired staff from an outside agency. Administrator stated they assumed the staff had the proper training provided to them by the agency. The facility could not provide confirmation of staff's training. No further evidence could be provided. Allegation: Lack of supervision resulting in resident wandering away from the facility. Complaint alleged residents R1 and R2 were wandering away from the facility. On 07/28/2021 LPA Mknelly visited the facility and conducted interviews with staff, S1 and S2 who have been working at the facility for multiple years. Staff denied personal rights of residents were violated. Staff stated they have not witnessed or encountered issues with residents wandering away from the facility. Staff statements and records reviewed indicate residents in which the complaint alleged were transferred out of the community in December 2020 and August 2020 due to change of conditions. Staff stated residents (R1 and R2) were experiencing confusion but did not go to the extent of exit seeking. Staff also stated during the last year the facility hired staff from an outside agency. Administrator stated they assumed the staff had the proper training provided to them by the agency. The facility could not provide confirmation of staff's training form the outside agency. LPA Mknelly reviewed a sample of staff training and found staff (S4) had required training. No further evidence could be provided. ***Continuation on LIC-9099 C*** Allegation: Lack of staff training. Complaint alleged residents R1 and R2 were wandering away from the facility. On 07/28/2021 LPA Mknelly visited the facility and conducted interviews with staff, S1 and S2 who have been working at the facility for multiple years. Staff denied personal rights of residents were violated. Staff stated they have not witnessed or encountered issues with residents wandering away from the facility. Staff statements and records reviewed indicate residents in which the complaint alleged were transferred out of the community in December 2020 and August 2020 due to change of conditions. Staff stated residents (R1 and R2) were experiencing confusion but did not go to the extent of exit seeking. Staff also stated during the last year the facility hired staff from an outside agency. Administrator stated they assumed the staff had the proper training provided to them by the agency. The facility could not provide confirmation of staff's training form the outside agency. LPA Mknelly reviewed a sample of staff training and found staff (S4) had required training. No further evidence could be provided. Based on the information provided, the Department finds the allegations listed above to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. An exit interview was conducted. No deficiencies were cited on today’s date. Copy of report and appeal rights provided.