complaint·April 19, 2025

The investigation revealed the following: Allegation: Staff do not ensure residents’ incontinence needs are met. It is alleged that S1 does not change the residents, leaving residents soiled throughout the late evening/early morning. LPA toured facility and residents rooms, sufficient supply of incontinence supplies were observed in resident rooms and caregiver station. LPA interviewed 9 residents and 8 out of 9 residents denied the above allegation, some residents stated that although it may take time for staff to arrive for assistance it may be because they are busy assisting another resident and they would have to wait their turn. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation stating that assistance is provided in a timely manner, caregivers do rounds every 2 hours (or as needed) to ensure residents needs are being met and haven’t had any complaints about this allegation. During interview with S4, it was stated that there have been no complaints or disciplinary actions against S1 for such allegation. Allegation: Staff do not respond to resident's call button. It is alleged that S1 does not respond to residents call buttons and was seen on their phone rather than responding to call. LPA interviewed 9 residents and 6 out of 9 staff denied the above allegation, stating that they feel staff respond within a timely manner when call buttons are pressed, some residents stated that although it may take time for staff to respond at times it is due to staff assisting other residents that are also in need of assistance. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation stating that staff does their best to provide prompt care to residents when call buttons are used, responding within 15 minutes or less depending on the situation and if staff are assisting other residents. LPA tested 2 residents call buttons and staff arrived within 7-20 minutes to provide assistance, reason for delay was that staff was busy assisting a resident with incontinence care and/or getting into bed. During interview with S4, it was stated that there have been no complaints or disciplinary actions against S1 for such allegation. (Continued on LIC9099-C) Allegation: Staff intimidated resident. It is alleged R1 asked staff to lower their voices as they were speaking loudly in the hallways at night and S1 responded by intimidating resident. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation, stating that they have never nor have they ever witnessed another staff act intimidating towards residents. LPA interviewed 9 residents and 7 out of 9 residents denied the above allegation stating that they have never felt threatened or intimidated by staff. During interview with S4, it was stated that there have been no complaints or disciplinary actions against S1 for such allegation. Allegation: Staff spoke to resident in a disrespectful manner. It is alleged that S1 spoke to R2 with in a disrespectful way and in a disrespectful tone. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation, stating that they have never nor have they ever witnessed another staff raise their voice or act disrespectful towards residents. LPA interviewed 9 residents and 7 out of 9 residents denied the above allegation stating that they have never felt threatened or intimidated by staff. During interview with S4, it was stated that there have been no complaints or disciplinary actions against S1 for such allegation. Based on statements and interviews conducted with staff/residents, tour of facility and LPA observations, there was not enough supportive evidence to concur with the reported allegations. 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 allegations are UNSUBSTANTIATED . Exit interview held, and a copy of this report was provided to Jocelyn Constante - MedTech.