Complaint·March 30, 2023

According to staff, if a resident opted to use the bathroom, the resident would need to call staff to assist them. This would give staff an opportunity to assist the resident and subsequently sanitize the bathroom. During the initial visit, LPA spoke with Executive Brakeville who confirmed that the shared bathroom door was locked due to facility implementing infection control protocols. According to records from 1/14/22 to 1/21/22, a resident’s bathroom was locked for approximately seven days. There were explicit instructions that care staff were to escort the resident to use the sink and for staff to empty the commode frequently. Records showed that the bathroom was shared between two residents. Protocols were enacted to ensure the virus would not spread and it would remain contained in an isolated area. Based on the information contained during the investigation, there is insufficient evidence to substantiate the allegation. On January 5, 2023, it was specifically alleged that a resident would often enter into another resident’s room. Interviews with staff said there were times in the memory care unit that residents would accidentally go into another resident’s room because they were confused or forgetful, but staff would redirect those residents. Staff were unable to recall specific names or dates of the occurrences which were common due to resident’s cognitive status. According to staff, this was common in the memory care unit, nonetheless staff were able to redirect the residents out of the room. If the family had concerns, the facility attempted to accommodate both the resident and the families. There were times that residents would be moved to another room at the family’s request. Although there were residents who would unintentionally enter another resident living quarters, staff undertook measures to ensure residents were redirected and provided closer monitoring. Based on the information obtained, there is insufficient evidence substantiate the allegation. Based on the Department’s investigation of the above-mentioned allegations there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be unsubstantiated. The report was discussed, and an exit interview was conducted with Maureen Manzon, Assistant Director of Resident Care, and Severino Doria, Director of Resident Care . A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Director of Resident Care Doria at the conclusion of the visit. The signature below confirms the receipt of these documents.