complaint·May 14, 2025

LPA attempted to conducted interview with S1, but they were unavailable for interview. LPA conducted interview with (5) staff who worked at the facility May of 2024. (5) of (5) staff revealed S1 was at the facility almost every day. The staff revealed S1 was seen continuously and from morning to afternoon at the facility. LPA conducted (5) resident interviews. (3) of (5) residents stated they did not know who S1 was, while (2) of (5) resident's stated they regularly see S1 at the facility checking on residents. LPA attempted to conduct records review for staff schedule from March 2024, however none was available at the time of the visit. Therefore, the allegation that S1 was not present at the facility enough hours to oversee the operations is unsubstantiated. It was alleged " Facility did not ensure that there were sufficient staff on the premises to assist and monitor residents." It was alleged around May of 2024 only (2) staff were present at the facility. It was also alleged the week of 09/16/2024 there were only (3) staff present at the facility. LPA attempted to interview S1 on staffing, but S1 was unavailable for interview. LPA interviewed (5) staff who worked May and September of 2024 at the facility who denied the facility is short staffed. LPA interviewed (5) residents. (4) of (5) stated there are enough staff at the facility to check on residents every 30 minutes, and residents use call buttons to summon staff. (1) of (4) residents stated the facility is short staffed and stated they are often short (1) care giver. LPA attempted to conduct records review for staff schedule from March 2024 and September of 2024, however none was available at the time of the visit. LPA conducted record review of the current schedule and observed staff present during the visit who were checking on residents and assisting residents with activities of daily living. LPA observed (5) staff present during the visit. Therefore, the allegation that staff is not present at the facility enough hours to monitor the residents is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.