complaint·May 3, 2024

Allegation: Staff did not ensure that facility is free of pests LPA interviewed the facility Administrator who stated that there were ants observed by the beverage machine. The Administrator stated that this machine was then moved inside the kitchen, to prevent spills from residents. LPA reviewed pest control documents which stated that there was no evidence of pests in the facility. Facility staff interviews stated that they have not observed ants in the facility in a long time. Based on information obtained during the investigation, LPA finds the allegations to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, Exit interview conducted. A copy of this report was provided to the facility. Allegation: Staff did not provide adequate supervision, resulting in residents sustaining falls After reviewing resident documentation, LPA did not find any evidence of falls due to lack of adequate staffing. Staff interviews discussed facility protocol if a residents falls are witnessed and unwitnessed. Interviews stated that the facility is utilizing agency staff in order for each shift to be fully staff. Additionally, interviews acknowledged that management will also assist on the floor when needed. Allegation: Staff did not evaluate residents after sustaining falls LPA reviewed observation notes for R1-R4. LPA reviewed detailed documentation by the Director of Nursing for a fall sustained by R1 on 3/8/2024. R1 was sent to the hospital for evaluation. Documentation detailed conversation with R1’s POA. Staff documentation noted that R1’s primary physician was notified. LPA did not find any documentation of falls for R2-R4. Additionally, staff interviews did not acknowledge any recent falls (within the last few months) for R2-R4. Allegation: Staff did not provide residents with a healthful living environment LPA observed R5 and R6’s apartments. Both apartments were tidy and well-maintained. LPA did not observe any feces in the bathroom or on personal items. LPA interviewed staff who stated that they have never observed feces in R5 and R6’s apartments. Additionally, staff stated that should a resident have an incontinence episode after housekeeping has left for the day, they have access to cleaning products. Allegation: Staff neglected to care for resident’s injury LPA reviewed R1’s documentation. No documentation revealed that R1 had an injury to the back of their head. Additionally, no staff interviews acknowledged that R1 had a head injury. Allegation: Staff did not ensure residents were provided adequate food services LPA interviewed staff who stated that there is a meal roster utilized for each meal. If residents are not at meals, staff then check on them. If residents do not want to eat in the dining room, there is a meal tray provided for them. All staff interviews stated that residents are, at a minimum, offered each meal. Residents can decline to eat. Additionally, interviews stated that R3 never missed three consecutive meals. Allegation: Staff did not ensure furniture was clean and sanitized LPA toured the facility’s common areas and did not observe any stains or odors on the furniture. Staff interviews stated that if a resident soils a chair/cushion, that it is removed and sanitized. Interviews acknowledged that staff clean the soiled furniture, timely. LPA interviewed the Maintenance Director and Housekeeping which both stated that they routinely clean furniture and as needed. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was provided to the facility.