Complaint·June 2, 2021

The Wellness Nurses and the Medication Care Managers validated that the N95 masks were kept in the Medication Room(s) and they have the key to open it. In addition, they reported that the facility has always been equipped with N95 masks as well as the other PPE supplies. They also reported that no one has expressed to them of not having the proper PPE supplies while caring for suspected and/or positive COVID-19 residents. In addition, they explained that when the Care Managers (Caregivers) arrived for their shift, they gathered their radio, their pager and obtained the number of N95 masks that they needed for their assignment for that day and then they logged the amount that they took. During the interviews with the Care Managers, they also concurred with the Resident Care Director, the Wellness Nurses and the Medication Care Managers that N95 masks were kept in the Medication Room(s) and they grabbed the amount that they needed to care for the suspected and/or the positive COVID-19 residents and they logged it. Furthermore, the staff members reported that before they start caring for their assigned residents, they would get a report from the previous shift so they knew their resident's health status and be prepared with the amount of N95 masks that they would need for that shift. They also reported that the rest of the PPE supplies such as gowns, gloves, etc. were set-up in an isolation kit with signs outside of the residents who were on quarantine which was another reminder for them to have all the appropriate PPEs prior to entering the room. Base on record review and interviews during the course of investigation, this allegation is unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.