Complaint·July 22, 2021

On the allegation: Staff is not properly transferring residents while in care. LPA interviewed Staff (S1, S2), Resident (R1), and witness (W1) and reviewed records. R1 and W1 interviews revealed that Staff 3 (S3) was not preforming transfers to the resident’s satisfaction. Records requested for training of transfers and hospice care were not provided to LPA to show S3 had any training specific to transfers. S2, R1 and W1 interviews revealed that S3 was not trying to be rough but had a language barrier in understating what the residents where saying and what they wanted or needed. Based on the evidence the allegation is deemed Substantiated at this time. Exit interview conducted, Deficiency cited, copy of report and appeal rights emailed to Administrator. On the allegation: Staff is not taking universal precautions as needed. LPA interviewed staff 1 and 2 (S1, S2), Resident 1 (R1) and Witness 1 (W1) none of these interviews revealed the staff were not following universal precautions. LPA De Leon observed the facility to have hand washing soaps, paper towels, gloves, wipes and disinfectant. S1 and S2 stated staff are trained to change gloves after each resident and wash hands frequently. Based on the lack of evidence this allegation is deemed Unsubstantiated at this time. On the allegation: Staff mishandles resident while in care. LPA interviewed S1, S2, R1 and W1 which revealed the staff was not mishandling the resident. R1 stated Staff 3 (S3) did not communicate to well with the residents and when he would do transfers it felt rough. R1 had feared falling. R1 was not scared of S3. R1 did not feel S3 was intentionally trying to be rough or that S3 was trying to hurt R1. R1 preferred S2 at the facility and wanted to be taken care of by S2. W1 did not feel S3 was trying to be rough with the resident and W1 revealed that it was a communication and training issue with S3’s transfers and safety. This evidence was addressed in this complaint in the first allegation. S1 and S2 interviews did not reveal any mishandling of residents in care. Based on the lack of evidence in the allegation is deemed Unsubstantiated at this time. Exit interview conducted, no deficiency cited, copy of report emailed to Administrator.