complaint·December 30, 2022

Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to initiate the investigation into the above allegations. The LPA met with Executive Director (ED), Brittany Holm, and informed her of the purpose of the visit. The LPA conducted staff/resident interviews, reviewed records, and took copies of pertinent documentation. Regarding the allegation, "Staff do not assist resident with getting out of bed," it was alleged facility staff are not assisting Resident One (R1) to get out of bed due to direction given by a family member. ED Holm was interviewed and reported she had no knowledge of the allegation. Staff interviews reported R1 has remained in bed recently, due to direction given from several sources, including a family member and a company contracted to provide specialized care to the resident. Interviews provided different information; some reported R1 has not directly requested staff assistance while another stated R1 has requested assistance. Interviews revealed R1 has come out of their bedroom for meals. R1 was interviewed and denied the allegation. Therefore, based on interviews, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means the allegation is false, could not have happened, and/or is without a reasonable basis. This report was reviewed with ED Holm and a copy was provided.