Complaint·September 13, 2024

According to the Memory Care Director, there are 2 caregivers and 1 Medication Technician (Med Tech) on the unit for the AM and PM shifts and 2 caregivers and 1 Med Tech on the night shift. The Memory Care Director stated that there should always be a staff in the dining room to supervise the residents and if the residents needed to be change, and/or wanted to go back to their rooms, the caregivers would provide the assistance while the Med Tech stayed in the dining room. LPAs interviewed the facility staff members who stated there is always someone providing supervision in the dining room. They also stated that they would bring the residents to the bathroom and/or back to their rooms after the meals but if the residents needed to go to the bathroom or to be changed prior to their meals, they would assist the residents. Furthermore, they stated that some residents would walk back and forth from the dining room to the hallway and back and sometimes they would redirect them to stay in the dining room for their meals. LPA interviewed R1 who slipped out of the wheelchair while getting some fresh air and R1 stated that it was an accident and several staff members helped and responded to the incident right away. R1 also stated that staff members were responsive but sometimes the response time took a longer because they were busy. LPAs interviewed R2 who stated that due to his/her vision problem, it would be a big challenge in the morning if he/she was assigned to a caregiver who did not know the routines such as an agency staff. During the interview with R2, LPAs attempted to obtain additional details regarding to being isolated in the room as the reporting party reported, however, R2 did not want to provide any information. LPAs interviewed the Resident Service Director who was aware of R2's health condition and stated that most of the time, R2 is being assigned to a regular caregiver. However, when there were sick calls, they had to readjust their schedule and get someone from the agency and resulted R2 not being assigned to a regular staff. Based on documents provided, LPA observed R2 required additional assistance and the Resident Service Director is meeting with R2 on a regular basis to ensure R2's needs are being met. LPA interviewed other residents and they stated that they liked the facility, and staff members were caring and assisting them with their needs. After the investigation, this allegation is deemed to be unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report is reviewed and discussed with the Director.