complaint·March 1, 2022

The Department received statement from a total of four (4) residents and two (2) facility staff. Statement received from all four (4) residents were consistent. All residents denied that the facility does not allowed resident to converse with one another. Allegation: Facility is withholding personal property . – Unfounded. According to complainant, R1’s T.V was not installed in the bedroom and R1’s magnifying glass to help assist with reading has not been returned to R1. R1's audio book recorder has gone missing. On 10/07/2021, the Department investigated and observed a T.V installed in R1’s bedroom. Interview with R1 revealed that there was no need for Licensee to install R1’s T.V in the bedroom because there was one installed and ready to be used. Interview with Licensee indicated that R1 had moved into the facility about two (2) months ago. R1 had personal belongings that needed to be stored such as furniture. Licensee stated he usually do not allow residents to store personal belongings at the facility, but he made an exception for R1. Interview statement received from R1 indicated that T.V, magnifying glasses, and audio book recorder had all been located. Allegation: Staff did not allow resident to receive occupational therapy services. – Unfounded. According to Complainant, R1 had an appointment at the facility with Physical Therapist but Licensee refused the appointment for R1. The Department received a total of three (3) interview statements from Clinical (CS) Supervisors and PT. CS1 stated R1 had completed all occupational therapy sessions. There was a total of four (4) weeks of sessions with R1 at the facility. Interview statement received from CS2 indicated R1’s first physical therapy session was on 09/02/2021 and the last session was on 09/24/2021. Interview statement received from CS2 revealed that Licensee had not refused physical therapy session for R1. Interview with PT revealed that Licensee had restricted certain areas at the facility for PT to use while working with R1. PT stated Licensee had an issue with PT walking around the facility and requested for PT to work with R1 in the bedroom. PT mentioned R1’s sessions were also conducted outside. PT stated Licensee had never refused entry. PT stated reasons for restriction given by Licensee is due to COVID-19. Interview statement received from Licensee indicated that the PT working with R1 at the facility was using common areas, entering other residents’ bedrooms, and working in other residents’ bedrooms. Licensee had asked PT to work with R1 in R1’s bedroom and to not go into other residents’ bedrooms. Licensee asked PT and R1 to work in R1’s bedroom or outside the facility. Licensee stated he has never denied resident from receiving physical therapy. This agency has investigated the complaint alleging resident not allowed to converse with other residents and facility is withholding personal property. We have found the complaint was UNFOUNDED , meaning that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview conducted and report left at the facility. It was discovered that some activities are being provided to residents in care, however; facility is not providing activities beneficial to residents with limitations (e.g residents in wheelchairs). The Department received interview statements from a total of four (4) residents. Interview with R1 indicated activities is provided by the facility such as walking, socializing, crochet, and card games. Interview statement from R2 and R3 indicated the facility does not provide activities. R4 stated is limited to activities but would like to go on walks but does not think staff would allow it. Interview statement received from Licensee indicated residents are not interested in activities. Licensee stated the facility provide books and magazines to residents. Most of the time residents watch TV and socialize with each other. Licensee also mentioned all but one resident is in a wheelchair so physical activities are limited. Licensee stated program description planned activities calendar is outdated and the facility does not follow it. Due to this information CCL finds the allegation to be SUBSTANTIATED . – A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and a copy of the report left at the facility.