complaint·July 28, 2022

Based on interviews, this malfunction was not reported to maintenance by R1, but was reported on day of LPA’s visit on 6-20-22 and repaired same day. Based on interviews conducted, there were no other items noted of concern in terms of disrepair. As a result, there is not a preponderance of to conclude facility is in disrepair at this time, therefore this allegation is UNSUBSTANTIATED. Allegation #2: Staff did not meet resident's needs. LPA interviewed R1, and R2 as well as S1 and Administrator on 6-20-22. On 7-28-22, LPA interviewed R3 and R4.. LPA also reviewed care notes for R1 and Admission agreement for R1. Additionally, LPA conducted a facility observation on 6-20-22. Based on interviews, this allegation stated R1 was not receiving timely assistance for incontinence needs, personal items including medication not secured upon R1’s return on 6-20-22, and R1 not receiving a copy of her admission agreement. Based on interviews and observation, it was determined that R1 had left facility on 6-20-22 with an intention to discharge to another facility but returned same day. LPA observed boxes of R1’s personal items at 2:10pm and based on interviews, R1 returned to facility at approximately 1:30pm. LPA observed staff members entering room to offer assistance during LPA’s visit. Additionally, based on interviews, R1’s medication was secured and locked upon her return within approximately 15 minutes. LPA observed R1’s medication secured during observation. Based on record review of care notes, it is indicated that R1 has been receiving activities of daily living (ADL) care including incontinent care needs. Based on interviews and record reviews, it is indicated that R1 and other residents’ care needs are being addressed timely. Upon review of R1’s admission agreement, LPA observed an acknowledgment of receipt signature from R1 in the appropriate sections of Admission agreement. Based on interviews, record reviews and observation, there is not a preponderance of evidence to conclude that R1’s needs are not met by staff, therefore, this allegation is UNSUBSTANTIATED. No citations issued as a result of this investigation. An exit interview was conducted with Anuradha Saini and a copy of this report was left with Anuradha. Appeal Rights provided.