complaint·April 6, 2022

LPA interviewed staff regarding the allegation. Administrator interview revealed that staff always wear masks in the facility. Administrator stated over the phone that after the witness reported staff was not wearing a mask the staff was given a write up and masks were immediately brought over. Staff 1 (S1) stated that most staff have a mask on them but need reminders to wear it properly. S1 stated that there is proper PPE in multiple places throughout the facility. Staff 2 (S2) stated that they were aware of the masking policies and where masks were located. A credible witness (W1) stated on 3/30/2022, W1 observed a staff who was not wearing a mask and staff stated to them that there were no masks in the facility. LPA interviews revealed that in fact there were masks in the facility but in a location they were not aware of. Administrator Karla stated that when staff clock in there are always masks there in the office and they were in stock that day. Based on LPA observation, interviews, 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.