Complaint·March 13, 2025

Complaint alleges facility did not provide proper supervision in the dining room of memory care. Upon review of R1 progress notes and interviews with multiple caregiver staff, LPA was informed that R1 had a history of verbal and physical behaviors towards staff and other residents in care. Upon tour of the memory care unit, LPA observed one common area connected to a dinning space, which complete separation of residents poses a difficulty. Staff indicated proper responses for redirection and ensuring resident personal rights, all while attempting to address R1's behaviors. LPA did not find any indications or observations of staff not providing appropriate supervision to residents in the dinning area. Complaint alleges facility is not changing resident's diaper. Upon interview with multiple caregiver staff and a review of R1 records and progress notes, LPA found contradicting information regarding R1's responses to continence care from staff. Staff statements were consistent to frequency of resident checks and attempts and did not provide corroborating evidence. R1 is no longer residing in the facility for additional observations. Upon tour of the memory care unit, LPA did not observe any other residents that weren't provided adequate continence care. A finding that the complaint allegations, facility is charging for services not being provided, facility is not accommodating to the residents preference by not providing an alternative to water, facility did not provide proper supervision in the dining room of memory care, facility is not changing resident's diaper are unsubstantiated meaning that although the allegation 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 allegations are UNSUBSTANTIATED.