Complaint·February 12, 2025

The assistant administrator called EMTs, and R1 was transported to the hospital, returning the same day. A review of the records dated 11/22/24 confirmed the unwitnessed fall and the hospital transport. Furthermore, there were no records in the facility's electronic files indicating that (R2) having an unwitnessed fall. It was alleged that staff are not preventing resident from disturbing another resident's sleep. The investigation involved interviews with both staff and residents. LPA Lee interviewed 6 out of 7 residents, who reported no concerns regarding staff not preventing sleep disturbances caused by another resident. Additionally, these 6 residents stated that they enjoy (R3) guitar playing and have no issues with it. LPA Lee also interviewed 2 facility staff members, both of whom denied the allegations. They stated that R3 has the right to play the guitar, and that the assistant administrator has spoken with R3 about being considerate of other residents while playing. Through the interviews, it was discovered that R3 typically plays the guitar from noon to evening. It was also noted that (R4) usually goes to bed between 3:00 PM and 4:00 PM and wakes up around 12:00 AM to 1:00 AM. It was reported that staff are retaliating against resident. The investigation involved interviews with both staff and residents, as well as observations. LPA Lee interviewed 6 out of 7 residents, who stated that they had no concerns and had not witnessed any staff members retaliating against residents in care. Two staff members at the facility were also interviewed and denied the allegations. During both visits on 11/27/24 and 12/24/24, LPA Lee did not observe any mistreatment or retaliation by staff against residents in care. It was alleged that staff are not providing residents with meals in a timely manner. The investigation involved interviews with staff and residents, observations, and a review of records. LPA Lee interviewed 6 out of 7 residents, who reported no concerns about delays in receiving meals. Several residents mentioned that they either go to the dining room for their meals or have meals delivered to their rooms if they are unable to go to the dining room. Two facility staff members denied the allegations, explaining that if meals are delayed, it is usually by 10-15 minutes due to staffing or other factors affecting the schedule; however, that residents always receive their meals. During observations on 12/24/24, LPA Lee observed residents eating lunch around 12:15 PM. During today’s visit, LPA Lee observed at 12:55 residents were finishing their lunch. Records review revealed that breakfast is served from 8:00-9:00 AM, lunch from 12:00-1:00 PM, and dinner from 5:00-6:00 PM. Additionally, text messages confirmed that R4’s lunch was served within the designated mealtime frames. Continued LIC 9099-C Based on statements obtained, records review and observations during the investigation process, LPA was unable to corroborate the allegations. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.