complaint·November 20, 2023

(Continued from LIC9099) Records review confirmed that the outside contractor came to the facility on 10/4/2023, upgraded and tested the system, with no issues noted. LPA directly observed and tested the call button system, revealing it to be in working order with no errors or glitches. Resident interview revealed that while residents sometimes observed a delay in the response time from staff, the call system worked correctly. Outside source interviews did not corroborate the allegation, informing that no disrepair issues have been observed with the call button system. Regarding the allegation, "Staff did not meet resident(s) incontinence needs", it was alleged that staff did not assist residents with incontinence care in a timely manner. Staff interviews did not corroborate the allegation, revealing that staff checked residents every 1-2 hours, per protocol, and as needed depending on condition and requests for assistance. Resident interviews were inconsistent; some residents stated they waited too long for help, while other residents stated they receive toileting assistance timely, when requested. Outside source interviews did not corroborate the allegation, and did not express concern regarding the time in which residents wait for incontinence assistance. Records review did not give evidence to support the allegation. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director David Armour, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.