complaint·December 20, 2021

Therefore, due to lack of information and inability to identify specific resident of concern, the allegation " Facility staff did not seek medical treatment in a timely manner resulting in death" is UNSUBSTANTIATED. Regarding the allegation " Residents sustained unexplained bruises": LPA Colvin reviewed files for 11 residents currently living at the facility, who were also living at the facility at the time of the complaint. LPA Colvin reviewed their files for any charting on bruising observed by caregivers, and found that at least four (4) of the 11 residents had incident reports regarding falls, which resulted in calls to 911 and/or bruising. LPA Colvin additionally toured the facility and interviewed residents and did not observe any bruising at this time. Therefore, due to lack of information and evidence, the allegation " Residents sustained unexplained bruises" is UNSUBSTANTIATED. Regarding allegation " Facility staff does not provide an adequate quality of food": LPA Colvin toured the facility and conducted interviews of residents regarding the allegation. LPA Colvin's interviews did not provide any supporting evidence for the allegation. LPA Colvin additionally reviewed the food supply in the kitchen, including the refrigerator, freezer, and pantry. LPA Colvin observed numerous items from the various food groups which make up a balanced diet. LPA Colvin checked the expiration date on numerous items and observed that every item checked was well within it's expiration date. Therefore, based on interviews and observations, the allegation " Facility staff does not provide an adequate quality of food" is UNSUBSTANTIATED. Regarding allegation " Facility staff left residents in soiled clothing for an extended period of time": LPA Colvin conducted interviews with residents at the facility as well as reviewed files for current residents who were present at the time of the complaint. LPA Colvin did not observe any evidence in the residents' files (such as presence of a pressure injury or a UTI) which would indicate that the resident was left soiled for an extended period of time. Additionally, LPA Colvin's interviews did not lead to any statements which support the allegation. Therefore, based on interviews and record review, the allegation " Facility staff left residents in soiled clothing for an extended period of time" is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegations occurred. A copy of this report was provided to Administrator Vivien Rillo during the exit interview.