Complaint·August 2, 2021

On the allegation: Staff made inappropriate comments towards resident(s) in care. LPA interviewed staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 5 (S5) and Staff 6 (S6) revealed that some staff persons did talk to residents and say things that were not appropriate to say to or in front of a resident. S6 thought the staff’s intent was not to be harmful. S3, S5 and S6 revealed it may have been a culture issue as sometimes other languages were spoken in front of residents and it was not appropriate for the work place or the residents because some of the residents could not understand what was being said so it seemed rude to do in front of them. S6 revealed a staff was joking but that she didn’t laugh or come across to others that way so if you didn’t know the staff personally it might have come across as inappropriate. Based on the evidence this allegation is deemed substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to facility. On the allegation: Staff hit resident (s) in care. Based off Interviews with Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), Staff 6 (S6) and Witness 1 (W1), Witness 2 (W2), Witness 3 (W3), Witness 4 (W4), and Witness 5 (W5), no hitting of residents by staff was ever observed. S1-S7 were trained to report any incident of abuse and if witnessed they would have reported the incident. W1-W5 stated they had never observed residents being hit by staff at any visits they made to the facility. Due to a lack of evidence this allegation is deemed unsubstantiated at this time. On the allegation: Staff handled resident(s) in a rough manner. LPA interviewed several staff , S1-S7 did not witness any accounts of staff handling residents roughly. Witnesses W1-W5 have never seen staff handle any resident in a rough manner. S1-S7 stated they are trained correctly to handle residents with proper care and trained techniques are used to provide added safety along with 2- person assist when needed. Due to the lack of evidence this allegation is deemed unsubstantiated at this time. On the allegation: Staff failed to assist resident in a timely manner after a fall. LPA interviewed S1-S7 and W1-W5 all interviews revealed falls do happen, but staff respond quickly to falls, medication-technicians (MT) are called immediately to assess, MT call 911 when needed and responsible parties are notified promptly. S1-S7 stated fall procedures are followed and it is all done in a timely matter. Due to the lack of evidence the allegation is deemed unsubstantiated at this time. On the allegation: Staff threatened resident in care. All interviews conducted with S1-S7 and W1-W5 did not reveal any staff were threatening to any residents in care. S1-S7 interviews revealed that staff were caring and did their jobs well. W1-W5 said staff that they came across during visits to the facility were doing a great job caring and meeting the needs of the residents. Based on the lack of evidence this allegation is deemed unsubstantiated at this time. Continued 9099-C On the allegation: Staff withheld food from resident(s) in care. Based on interviews conducted with S1-S7 the facility has plenty of food to feed residents, residents are given choices in meals, some residents are on a special diet due to being diabetic or lactose intolerant as well as needing food pureed or cut up into smaller chunks for swallowing. S2, S3, S6 stated the only time a meal would be taken away is if the resident was on a special diet and handed the wrong meal, but it would be replaced with another meal they could eat. S3 and S7 interview revealed if residents wanted to sleep or just didn’t want to eat at that time the staff would have the food wrapped to be given to them when they were ready. None of the interviews conducted revealed food was being withheld from residents. On 08/02/2021 at 4:45 pm, LPA toured the facility kitchen, observed the food supply, reviewed the menu records and choices available to the residents, everything was within regulations requirements. Based on the lack of evidence in this allegation it is deemed unsubstantiated at this time. On the allegation: Staff failed to ensure resident's shower water was a comfortable temperature. Interviews with S1-S7 all stated the PCA would run the water first, then check it before putting the resident inside the shower. S1, S4 and S5 stated they would ask the resident to check it with a hand or foot before putting their full body in the water and if a resident needed water adjusted staff would do that for them. W1-W5 stated they never observed showers being too hot or cold in temperature and none of the residents ever stated to W1-W5 that their shower or water temperature was a problem. Due to the lack of evidence this allegation is deemed unsubstantiated at this time. On the allegation: Staff assisted resident in an unsafe manner. The interviews with S1-S7 revealed staff were trained to assist residents in the safest manner, staff would ask for help when needed, and 2-person assists were conducted when needed. W1-W5 revealed no issues with staff assisting residents and observed it done safely when they were in the facility. Due to the lack of evidence this allegation is deemed unsubstantiated at this time. Exit interview conducted and copy of report emailed to Facility.