Complaint·August 28, 2024

Based on R2’s needs plan, R2 can be occasionally aggressive toward staff. Interview with staff present during the time in question revealed R1 and R2’s behaviors were known and did not require additional reappraisal. Interview with Director of Health Services revealed that residents in assisted living and memory care receive quarterly reappraisals and if there a change in condition a medical reappraisal would be provided immediately. Records corroborated that both R1 and R2’s behaviors were known prior to report. Interview with outside source did not corroborate that residents are not provided with reappraisals. . It was also alleged that staff were not providing incontinence care for residents in memory care. Interview with multiple staff revealed that residents who are incontinent are changed every two hours by care staff. Interview with Memory Care Manager revealed that all residents are checked on every two hours. Interview with outside source could not corroborate that residents in memory care are not provided timely incontinence care. Interview with residents in care corroborated that residents are checked for incontinence needs multiple times per day. Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Director of Human Resources Claudia Rubio, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.