complaint·December 12, 2023

Interview with outside source verified that R1 is receiving such care. Interview with outside source also revealed that they did not believe that R1 was neglected, rather that the facility established wound care with medical provider in a timely manner. Records and interviewed also revealed that R1 Stage II pressure ulcer has healed due to proper care of wound. It was also alleged that R2 was forced to sleep on the living room couch and their bed was given to another resident. Interview with staff revealed that R2 preferred to sleep on living room couch and multiple staff attempts to redirect resident but resulted in resident returning to couch. Interviews also revealed R2’s bed was not given to another resident, rather, another resident slept in R2’s bed when it was not in use. Interview with outside source revealed that R2 was given the right to a safe and comfortable accommodation. Additionally, it was alleged that staff did not prevent R3 from harming R4. According to interviews with Staff 1 (S1) and Staff 2 (S2) on November 2, 2023, staff observed R3 having an emotional outburst that resulted in R4 being pushed by R3 and R4 sustaining a skin tear on the back of the hand. Interviews also revealed R4 was given first aid. Interview with outside source established that there were no concerns regarding the supervision and care of R3 as well as R4 are receiving. Lastly, it was alleged that R4’s responsible party was not notified of R4’s injury after altercation with R3. According to S2, S2 contacted the responsible party by telephone on the date of the incident. LPA Strong also observed a signed incident report created by S2 that documented S2 contacting the reporting party. Interview with outside source established that responsible party did not receive a phone call regarding such incident. Based on LPA's interviews, observations, record reviews and conflicting statements there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Wellness Director Jenna Purnell to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.