Complaint·August 15, 2024

During the course of the investigation, LPA interviewed 2 staff members. S2 mentioned that S1 did the assessment. During training with Med Aid and S1, R1 freaked out. The responsible party wants R1 to try again. No show on the scheduled time, rescheduled and nobody was there again. LPA also interviewed R1 and he/she stated that he/she doesn’t want to use the CPAP machine. A police officer (PO) also visited the facility and had the ED accompany them in R1s room, R1 also stated to them that “I don’t want to use the CPAP." S1 was also interviewed and mentioned that he/she did not use that language to R1. There has been several attempts for R1 to try and be trained with the machine. Several schedules have been made. As of this report, R1 has already agreed to use it and additional staff has been trained to assist R1 with the use of the machine. Based on records review, S1 visited R1s room on 7/22/24 with another staff member, S3. R1 was scheduled to have another training at 2pm. Staff knocked and no one was in the room. They waited for 10 minutes then advised responsible party that no one was in the room. Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copy is provided.