complaint·June 9, 2022

It is alleged that staff did not respond to R1 call bell. LPA tested the call system and verified that the call system is working in the bedroom of R1. LPA notes that the alarm system rings loudly and is heard through out the facility. Interview of residents revealed that one (R1) of eight (8) interviewed responds that staff did not respond to their call bell. Staff interviewed deny the allegation. There is no evidence available to confirm or refute that staff did not respond to R1's call for assistance. We have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative. Eight (8) of eight (8) residents interviewed described the food being served as nutritious and that their needs are being met. Interviews with staff providing food service revealed their knowledge of R1's nutritional needs as related to their medical status and diet order and are able to inform LPA on how those needs are being met through appropriate meal substitutes. Review of the food storage and menus revealed that the facility has the availability of food options to meet the needs of R1s diet order. It is alleged that the facility heating system is in disrepair. LPA toured 10 bedrooms to assess the heaters efficacy. LPA found in ten (10) of ten (10) bedrooms that the heater was functioning. Seven (7) of eight (8) residents interviewed state that their heater works to their satisfaction. One (1) of eight (8) interviewed was unable to provide a response in regard to the heater. The facility thermostats are maintained at a temperature of 73 degrees F. Based on review of the information we have found the complaint allegations are unfounded, meaning that the allegation was false, could not have happened and is without a reasonable basis. We have therefore dismissed the complaint. A copy of this report is being reviewed with, and furnished to the facility representative.