complaint·October 13, 2021

The facility PPE supply is ample and isolation carts are readied awaiting use. The facility has posted in each restroom and hand washing station, hand washing and COVID-19 prevention guidelines. The dining room is restricted to residents only. The guidelines in place are for there to be only two residents at one table according the the Executive Director. LPA observed those tables are screened with a plexiglass divider between the residents. Each table has two chairs, one on either side of the plexiglass. The availability of hand sanitizer to the residents is visible. Social distance protocol is encouraged and community seating areas are marked with " Do not sit here " stickers. Coffee and water stations are equipt with wrapped individual use cups and stirrers. All employees and visitors are required to wear a mask while in the community and encouraged to be either vaccinated or with a negative COVID-19 test prior to entrance into the facility. LPA did not observe any resident or employee not wearing a mask. Five (5) out of five (5) employees interviewed revealed that staff have been provided with COVID-19 protocol training. The facility housekeeping reports that the practice is to hourly wipe down commonly touched surfaces and that when isolation ends they sanitize rooms with using a disinfecting spray noted as "Holt" as well as a hydrostatic sanitizing machine according to the Executive Director. Two (2) of Two (2) caregivers interviewed report that they have been trained on isolation procedures. Copies of training records have been reviewed and copies of training records have been obtained. Residents and staff are tested with a rapid test weekly on Tuesdays and Thrusdays and if a positive test is reported it is followed with additional testing to verify the positive. Three (3) of three (3) staff questioned on isolation practices noted that isolation is initiated with rapid testing positives. Based on the available information obtained during this investigation there is no discernable violation and this investigation is concluded. We have found the complaint allegation is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. A copy of this report is being reviewed with, and furnished to the facility representative.