Complaint·August 2, 2022

LPA interviewed the administrator who stated that there were staff providing care and supervision all day and night. LPA reviewed the LIC 500 (Personnel Report) and it revealed 24 hour staffing coverage. In addition, LPA interviewed Staff #1 (S1) and Staff #2 (S2) and both of them stated that they worked on the night shift several times a week. They also reported that they sleep during the night and get up to provide assistance when residents rang their call bell. S1 reported sleeping in a room behind the kitchen and S2 reported sleeping on the couch in the living that is shared with the residents. This is a deficiency and will be cited on LIC 809 under Personal Accommodations and Services as the facility did not provide comfortable living accommodations and privacy for the residents and staff. Base on record review and interviews during the course of investigation, this allegation is unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report is discussed with the administrator. A copy is provided. Regarding to staff did not provide residents with walker, the reporting party stated that the facility staff took away resident #1 (R1)'s walker after they assisted R1 back to bed. As part of the investigation, LPA interviewed R1 who stated that the walker was placed by the head of the bed when she is bed. However, R1 also reported not being able to reach for the walker as it was blocked by the quarter bed rails at the head of the bed, the removable metal device placed by the foot of the bed and the dresser in between the head and the foot bed rails. LPA reviewed the medical documents provided by the facility, there was no physician's order and/or notes concerning the above devices. Based on this investigation, this complaint allegation is determined to be unfounded, meaning that the allegation could not have happened and/or is without a reasonable basis as R1 and staff reported that the walker was placed next to the bed. However, the additional observation concerning the devices that facility placed next to R1's bed will be cited on a LIC809 under Postural Support. This report is reviewed and discussed with the administrator. A copy is provided.