complaint·March 27, 2024

During the initial 10-day visit, the LPA spoke to the Administrator, Lauren Vincent over the phone and the Marketing & Resident Enrichment Director, Brian Trout in regards to the Administrator’s hours and schedule at the facility. It was alleged that the Administrator was not at the facility for a sufficient amount of time. The random 5 residents that the LPA interviewed stated that that was not an issue for them. The staff also echoed that sentiment. The Administrator stated that she was present at the facility for a sufficient amount of time to meet the needs of the residents. In regards to the allegations that the facility is not meeting resident’s dietary needs, after record reviews, interviews with the Head Chef and Marketing and Resident Enrichment Director, there was no resident who resided that the facility, that had a special dietary plan or restriction. The LPA randomly interviewed residents who stated that they had no issues with getting medication or being transported to their doctor’s appointments. The LPA reviewed 5 random medications and MARS, in which it appeared that the medications were accurately dispensed and logged. The Med Tech, Nisha Henson, stated that there were no issues with residents receiving their medications. In regards to the facility falsifying records, the LPA was not able to interview additional witnesses regarding the complaint. The Marketing & Resident Enrichment Director, Brian Trout and Executive Director, Lauren Vincent denied this allegation. The residents interviewed indicted that they did not have any issues or concerns regarding this complaint. Based on LPAs observations, records review, and staff and resident interviews, this agency has investigated the complaint alleging that the facility, Staff did not ensure resident attended his medical appointments, Staff did not meet resident's dietary needs, Staff mismanaged resident's medication, Staff falsified residents' records, Administrator is not at the facility a sufficient amount of time are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the Executive Director, Lauren Vincent over the phone and provided to Kitchen Chef, Brian Lebeuf as evidenced by his signature.