Complaint·April 12, 2023

Page 2 - LIC9099 Regarding the allegation of not informing responsible party of change in condition of resident, LPA observed incident reports and some email notifications of such changes to the responsible party. Regarding the allegation of false facility advertisement, LPA reviewed the items presented as false reviews and in interviewed facility staff regarding this. LPA could not prove fault by the facility as it is one party's work versus another. Regarding the allegation of staff not intervening in a timely manner between two residents, LPA reviewed incident reports and staff regarding the incident. LPA could not prove that the staff did not intervene in a timely manner. In reviewing items the staff did intervene to the best of their abilities and was able to observe, intervene, and report such incidents. The facility does not have one on one caregivers for R1 as it is not in the admission agreement or needs or services plan. Lastly, regarding the allegation of staff isolating the resident LPA could not determine if this took place or not. According to interviews conducted there are conflicting views regarding the isolation as described. The room in question the resident was not locked in. No resident rooms have locks on them. LPA could not prove or disprove that this took place as it is one party's work over the other. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with the administrator Karen Nickolai.