complaint·June 10, 2024

As to the allegation of, “Facility staff inappropriately handled resident in a rough manner.” It was alleged that S7 pulled a pencil out of the contracted hand of R14 so hard the pencil cracked and broke. It was discovered through documentation and interviews on 01/12/2023 in interviews of S1 and S2, both stated they were on duty at the time of the alleged incident, both present during the incident in question, and both S1 and S2 stated that the pencil was broken with a sharp point while in the hand of R14, both stated that S7 pulled the broken pencil out of the hand of R14 for their safety. Both S1 and S2 describe the incident as careful and ethically conducted for the safety or R14. LPA reviewed facility document of submitted Unusual Incident Report (LIC624) dated 01/05/2023 indicating S7 retrieving broken pencil to prevent possible injury of R14’s hand, with no further incident and facility charting notes dated 01/13/2023 at 3:05pm corroborating LIC624. Administrator stated internal facility inquiry with all staff involved revealed same conclusion. Interviews on 01/12/2023 of R1-R12 all stated that they had no issues with staff and feel safe in this facility. On 01/12/2023 interviews of S1-S6 all stated that they had never heard S7 raise their voice or yell at residents. At this time there is not enough evidence to support the allegation of, “Facility staff inappropriately handled resident in a rough manner,” and is unsubstantiated at this time. As to the allegation of, “Facility staff do not adequately supervise residents.” and “Facility staff do not treat residents with dignity and respect.” It was alleged that, resident was asleep at the table with her hand in her plate of food, and staff are eating take-out food same dining rooms with residents.” It was discovered through interview on 01/12/2023 of S1-S6 there is always enough staff and facility calls temp. services for staff they the facility is short staffed. S1-S6 all stated that if a resident falls asleep in the common areas including the dinner table, they let them sleep unless they are in a hazardous position or subject to falling out of the chair. Interviews with S3-S6 all stated that staff do not eat in the same area as the residents. Interviews on 01/12/2023 of R1-R12 all stated that they had no issues with staff and feel safe in this facility. At this time there is not enough evidence to support the allegations of, “Facility staff do not adequately supervise residents.” and “Facility staff do not treat residents with dignity and respect.” and both are unsubstantiated at this time. Exit Interview, report read, and report provided.