complaint·July 14, 2022

staff schedules for September 2020 and all Staff training records for initial or annual training Sept 2019-Sept 2020. LPA received documentation on 09/18/2020, 09/23/2020, 10/13/2020, 11/05/2020, 11/06/2020 and 11/09/2020. LPA reviewed all documentation on 07/12/2022 at 2:00 PM. On the allegation: Staff are not adequately trained. LPA conducted interviews with staff, requested and reviewed documentation which revealed the staff did not have adequate dementia training to meet the needs of R1. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, deficiency cited, copy of report emailed to Administrator. LPA received documentation on 09/18/2020, 09/23/2020, 10/13/2020, 11/05/2020, 11/06/2020 and 11/09/2020. LPA reviewed all documentation on 07/12/2022 at 2:00 PM. On the allegation: Staff does not prevent inappropriate interactions between residents. LPA interviewed staff which revealed staff do intervene with Resident 1 (R1) when R1 is having behaviors issues with other staff and residents. Staff interviews revealed R1’s diagnosis is worsening, R1 acts fast and staff have been unable to intervene in time when incidents have occurred, therefore this allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report emailed to Administrator.