Complaint·July 20, 2022

LPA Luong requested the contact information of R7 and their parties. Administrator informed LPA that it was a day visit, and R7 was performing a trial period with their family to see if the facility was an appropriate fit for R7. One resident was expected to move out at the end of the month, and the licensee wanted to ensure the vacancy would be filled. The licensee receives numerous requests for a trial and did not have R7’s contact information. The facility did not have a visitor’s log upon LPA’s request. LPA informed the facility this was a requirement as a result of the Coronavirus Disease and should have been implemented as part of the facility’s mitigation plan. Other interviews reported that R7 had been at the facility for several days. Among the other interviews includes a credible witness who was present at the facility and witnessed R7 sitting at the table by self with no other visitors. Credible witness also reported that staff informed the credible witness that R7 was at the facility for several days. Although it could not be determined how long R7 stayed, there is sufficient evidence based off interviews that R7 was at the facility without their representative. Without their representative the facility would have been required to provide care and supervision to R7 for the day and therefore exceeded the license capacity of 6. Therefore the allegation Facility exceeds approved capacity is substantiated. LPA conducted exit interview, deficiency issued on 9099-D, and provided a copy of this report along with appeal rights to the facility. R2 was also described as having a history being “nasty” and complained about everything. R2 also has arthritis and had undergone a medication change. During the medication change, R2 became aggressive and would scream and pound on the walls. There was insufficient evidence to prove the allegation facility staff verbally abused resident. Therefore the allegation is deemed unsubstantiated at this time. However, LPA recommends that personal rights training be provided to all staff as a best practice. Exit interview conducted and a copy of this report will be emailed to Administrator/Licensee.