complaint·September 14, 2023

A review of records revealed that the facility had approved fire clearance to serve 105 non-ambulatory residents, of whom 12 may be bedridden, to be housed only on the ground floor. A review of resident records revealed that the ambulatory status of the four residents in question did not indicate that they were medically assessed as bedridden at the time of this investigation. Per Physician’s Reports (LIC602), three of the identified residents were currently evaluated as non-ambulatory and one resident was evaluated as ambulatory. Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated. The report was discussed, and an exit interview was conducted with Executive Director Sokolowski. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Executive Director Sokolowski at the conclusion of the visit. The signature below confirms the receipt of these documents.