Complaint·February 16, 2022

LPA interviewed Administrator and resident (R1) regarding the allegation. Administrator interview revealed that staff often wear masks in the facility. Residents 1 (R1) interview stated the staff wear masks most of the time when helping them in the facility. A credible witness (W1) stated on 2/10/2022, W1 observed two staff in the living room who were not wearing masks. W1 stated the staff did not have masks nearby them or around their necks, and had to get up to go find them. Based on LPA observation and the credible witness statement this allegation is deemed Substantiated at this time. The facility failed to protect the personal rights of residents in care to be able to receive safe and healthful accommodations, in that the facility staff failed to wear face coverings properly while providing care and supervision to residents in care. This is a violation of official government orders requiring the wearing of face coverings while working under specified conditions. Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Licensee/Administrator.