complaint·December 11, 2023

Allegation- Staff does not respond to residents call pendant in a timely manner. The department conducted staff and residents' interviews, reviewed records to investigate the allegation. During interviews, staff stated that staff respond to resident call buttons in a timely manner, however, sometimes there is a delay in response due to staff assisting other resident’s needs. During facility observation on 11/8/23 and 11/20/23 and call log review, the department did not observe any long/extended wait times from staff to respond to resident's call button, therefore this allegation is found to be 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 alleged violation occurred. Allegation- Staff mismanaged residents medication. Based on documents obtained and statements received, the department determined that there was insufficient evidence that staff did not properly maintain medication for residents in care. Documents reviewed show that all current medications were administered and logged correctly and were given to residents per their doctor's orders from 11/1/23-11/17/23. Based upon the information obtained during investigation, the above allegation 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 alleged violation occurred. Exit interview was conducted and a copy of this report was provided to the facility. Allegation- Staff forced resident to shower. Based on records reviewed and interviews conducted it was determined by the department that (per facility policy) if residents refuse to shower, staff will redirect, come back a few minutes later, or change face. If all those steps are taken, and residents still refuse to shower, staff then document refusal in the residents’ charts. From records reviewed, the department observed that staff were documenting all shower related documentation per facility policy and were not forcing any residents to take showers if they refused. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Allegation- Facility does not have sufficient staff to provide care to residents. LPA has reviewed facility schedules which shows shifts are covered by multiple staff. There is no evidence to support the allegation that the facility does not have sufficient staff to provide care to residents. From records review, LPA learned that there are at least 2 direct care staff available on each floor during each shift for every day.  Residents' interviews indicated that their needs are met, and the department finds no evidence that the current staff level is insufficient. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Allegation- Staff did not properly supervise resident resulting in a fall. Based on records reviewed and interviews conducted, the department determined that R1 did not have any falls in the months of September, October, and November (2023). Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview was conducted and copy of this report has been provided.