Complaint·April 3, 2025

Similarly, S1, as the Health and Wellness Director, holds a significant role in assessing residents' health and wellbeing. With a background in nursing and a current nursing license, S1 supervises personal care staff and coordinates the services provided to residents. S1’s responsibilities include performing thorough health assessments of all new residents, monitoring the health status of current residents, and participating in care conferences to discuss the ongoing needs of residents. S1’s qualifications, including CPR certification and state nursing license, manage the health and wellness of residents. In addition, S1 works closely with other staff members, including the Residential Care Director and the Sales Director, to ensure that all assessments and care plans are reviewed thoroughly and adjusted as necessary. Through interview, the assessment process involves multiple levels. S1 discussed the process involved in assessing residents. S1's role includes making recommendations based on assessments of residents' activities of daily living (ADLs). These recommendations are passed on to the administrator (AD), who further reviews the information and ensures the resident’s needs are met appropriately by the facility. After the administrator’s assessment, the recommendations are sent to corporate overseers for final approval. This multi-step approach ensures that every aspect of a resident's needs is addressed and verified. Interview also indicated that along with other staff members such as the Residential Care Director, actively assist with residents' care when needed, especially during times of staff shortages. S1 and the Residential Care Director, occasionally provide hands-on care to residents if necessary. Furthermore, S1 is responsible for assessing situations that require medical attention, such as minor injuries, and providing appropriate care. If more specialized care, such as home health or hospice services, is required, those needs are handled by external agency staff, ensuring that the resident receives the best possible care for their specific circumstances and needs. Based on the gathered information, there is no preponderance of evidence that staff are not properly assessing residents. Therefore, this allegation is UNSUBSTANTIATED. An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Exit interview was conducted with Alyssa Sellers and Carley Taylor. A copy of this report and appeal rights were provided. {2 of 2}