complaint·November 30, 2022

It was also alleged that staff exposed resident #1 (R1) to toxic chemicals. Two unannounced visits to the Memory Care unit revealed that no toxic chemicals were observed out in the open in the dining, kitchen or bedroom areas. Interviews with staff, management and outside sources also revealed that no one had witnessed a resident being exposed to chemicals. There was insufficient evidence to support this allegation. It was also alleged that staff left Resident #1 (R2) in a soiled diaper. A record review revealed that wearing diapers is was not included the resident’s care plan. Interviews with staff, the Resident Services Director and outside sources revealed that the care plan for R1 included independent toileting with occasional assistance during the time period in question. There was insufficient evidence to support this allegation. It was also alleged that residents were not treated with dignity. Observations during two unannounced visits revealed that residents looked clean, content and were eating or watching a movie in the dining area. Observations also revealed that the bedrooms visited appeared clean. Interviews with two Resident Services Directors, staff and outside sources revealed that there had been no witnesses to any staff not treating the residents with dignity, and no concerns about personal rights. There was insufficient evidence to support this allegation. Based on the evidence obtained during the complaint investigation, the above allegations are determined to be unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report and Licensee's Rights (9058 01/16) were printed and provided to David Armour at the facility.