complaint·October 24, 2024

The facility has an infection control plan in place that includes isolating covid positive residents during their infectious period. This protocol was reviewed and found to have been followed appropriately in the cases reported. Interviews with staff confirmed that the positive residents were isolated, and proper protocols were implemented once covid cases were identified, including; two hour checks, food delivered to resident's rooms and covid testing for symptomatic residents. Records review revealed incident reports were submitted to CCL on August 14, 2024. The incident reports indicated that five residents tested positive for Covid-19 and were immediately placed in quarantine with a "PPE isolation cart" placed outside of their door. A transmission precaution sign was also placed on each of the resident's door. All of the covid positive resident's responsible parties and Physicians were notified. LPA interviewed several of the residents that were previously covid positive. All of the residents interviewed stated that they were instructed by facility staff to self isolate in their rooms. One of the residents interviewed stated that the covid positive residents had their meals delivered to their rooms while they were sick and infectious. While residents were encouraged to wear masks and utilize PPE, it was noted that adherence to these guidelines varied, particularly among residents with cognitive impairments who may not fully understand the necessity of such measures. An interview with an outside source (OS) revealed no knowledge or evidence to substantiate the allegation that staff did not take appropriate actions to prevent the COVID outbreak. OS noted that the facility seemed to be following recommended protocols. LPA interviewed Business Office Director (BOD) who stated that when a covid case occurs at the facility the resident is placed on isolation and PPE supplies are placed outside of their room. Meals are served in resident's room and disposable plates and utensils are utilized until the covid case is resolved. Vitals are taken "Q-shift" and PRN. Residents with covid symptoms are tested and all staff, visitors and residents are encouraged to wear masks. The investigation indicates that while the facility faced challenges inherent in caring for residents with cognitive impairments, it followed its established infection control protocols. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Evalyn Valaile. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Evalyn Valaile whose signature below verifies receipt of these rights.