complaint·March 22, 2023

Review of facility records revealed that the facility was following infection control requirements in regards to R1’s positive status. LPA observed personal protective equipment (PPE) being used by staff, residents and visitors. The facility continued weekly testing and screening for COVID-19 symptoms. Based on interviews with staff, residents and visitors, they were made aware of what rooms and areas that were under isolation. Review of facility records revealed that the staff was trained on infection control requirements with outside vendors. Facility documents and outside source documents revealed that the facility was reporting new cases of COVID-19 and following the facilities mitigation plan. Interviews with staff revealed that they were made aware of the residents that were diagnosed with COVID-19. The Department received documentation of staff and residents that tested positive for COVID-19. The facility also has an approved COVID-19 mitigation plan and infection control plan. Based on records reviewed, staff interviews and outside sources interviewed, there is not a preponderance of evidence that the facility was not following Covid 19 infection control requirements and reporting requirements. Therefore, the allegations are unsubstantiated . An exit interview was conducted with the Administrator and a copy of this report, and Licensee Appeal Rights (9058 03/22) were provided to the Administrator whose signature on this form confirms receipt of these documents.