Complaint·June 9, 2023

Care giving staff was assembled in the activities room. There were currently 3 caregivers working in the memory care wing. 1 caregiver did not have a pager, 1 caregiver had a pager that was not functioning properly, and 1 caregiver received the alert, but was busy assisting another resident. LPA reviewed the facility call logs from 06/02/2023 to 06/09/2023. During this period, there were 116 instances in which calls went out from resident pendant alarms or push alarms located within facility rooms that were recorded as not responded to in the facility reports. Facility call logs indicate that these calls required a response but never received one. The Department has conducted an investigation of the above allegations. Based on LPA's observations, and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED. Deficiency cited. See LIC 9099-D. Exit interview conducted with Administrator San Sor. A copy of this report, along with the facility's appeals rights were provided. Review of facility email correspondence with family members of residents indicate that the facility delivered permissible requested documents to requesting parties within an appropriate time frame. This Department has investigated the above allegation. Based on interviews conducted, and records reviewed, the Department has found that this allegation is UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted with licensee/administrator. A copy of this report was provided for signature.