complaint·May 16, 2023

Staff shoved a pill into resident’s mouth. The department conducted record review, interviews, and facility observation to investigate this allegation. From the 3 residents and 5 staff interviews conducted, it has been learned that facility was giving medication to all residents per their doctor orders without any issues. Additionally, it has been learned that facility was not forcing any medications to residents against their will. During department inspections on 11/22/22 and 3/1/23, all staff were attending to resident care needs without any problems. From the record review it has been concluded that facility was documenting medication refusals (if applicable) and notified residents responsible parties and doctors as needed. This agency has investigated the above listed allegation(s). Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSTANTIATED. Staff failed to assist resident into bed. The department conducted record review, interviews, and facility observation to investigate this allegation. From the 3 residents and 5 staff interviews, it has been learned that facility staff was assisting all residents for their ADL care needs per their Needs and Service plan in a timely manner. During department visits on 11/22/22 and 3/1/23 it has been observed that facility staff was attentive to residents’ care needs and all residents appeared to be well groomed and in good care. This agency has investigated the above listed allegation(s). Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSTANTIATED. Exit interview was conducted with Memory Care Director and a copy of this report was provided to the facility. The signature of the Memory Care director on these forms acknowledges receipt of these documents. Staff violating resident’s privacy by listening to conversation without consent. During the course of the investigation LPA obtained facility documentation, conducted interviews, and inspected facility grounds. During department visits on 11/22/22 and 3/1/23 it has been observed that residents’ privacy was respected, and no listening devices were observed in residents’ rooms nor was staff being observed around residents’ rooms when family was visiting. Furthermore, no interviews indicated that any residents have any concern with private time with their family members/visitors or experienced any problems in this area. This agency has investigated the complaint alleging staff system was not operational. We have found that the allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Signal system was not operational. During the investigation LPA obtained facility documentation, conducted interviews, and inspected facility grounds. LPA investigated the allegation, "Signal system was not operational." LPA toured the facility on 11/22/22 and 3/1/23 and observed the call light system was fully operational. During tour staff pulled approximately 3 different call lights in resident rooms and caregivers responded in a timely manner. Staff interviews indicate that call lights are answered within minutes even when other care is being provided. The facility was observed to be equipped with operational pull cords in the resident rooms and bathrooms that are used to notify staff. This agency has investigated the complaint alleging staff system was not operational. We have found that the allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview was conducted with Memory Care Director and a copy of this report was provided to the facility. The signature of the Memory Care Director on these forms acknowledges receipt of these documents.