Complaint·July 9, 2024

Facility has insufficient staffing: On 06/23/2022, LPA interviewed 5 staff. Staff S1 stated the facility is actively hiring more staff. S1 stated there were 1 nurse, 5 caregivers, 1 Med Tech, a leader of Med Techs/caregivers group, 3 cooks, 3 servers, 3 house keepers and 1 laundry staff on duty. S1 stated the facility had a management team change recently which causes some staff left the jobs. S1 stated there are 9 applicants under the process of hiring and will be on board soon. S1 stated a new Executive Director will be on board next month. LPA interviewed 3 staff. 2 out of 3 staff stated the facility does not have staffing issue. 1 out of 3 staff stated the facility could hire more staff. LPA toured 3 resident rooms and interviewed 2 residents and one family member of resident. 2 out of 3 stated the facility's basic operation has no problem and the residents receive the cares they need. 1 out 3 stated the facility should hire more staff. On 5/23/2024, LPA interviewed 7 staff. 6 out of 7 stated there are 8 caregivers, 2 Med Tech, 1 leader of Med Tech/caregivers group and 1 nurse on duty, and they all think the facility does not have insufficient staffing issue. LPA interviewed 9 residents. 8 out of 9 residents stated the facility does not have insufficient staffing issue. 1 out of 9 residents stated the facility can hire more staff. Based on the interviews with staff and residents and records reviewed, no evidence ti indicate the facility has insufficient staffing. Based on investigation, observations, and interviews conducted, the Department found that the above allegation is UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. No citations noted at today’s compliant investigation visit. This report was provided to BOD for signature. A copy of the report was provided to BOD. Page 2 of 2.