complaint·September 23, 2025

Based on training records reviewed, in-service trainings were provided to staff by Suncrest Hospice on 12/12/25, 3/21/25, and 4/30/25 in regards to catheter care. According to the Director of Health Services and the Wellness Nurse Supervisor, R1 goes to the doctor when his/her tubing needs to be changed and LVNs assist with emptying R1's foley catheter. Regarding the allegation, staff do not have proper training, according to the reporting party, facility staff does not have proper equipment to lift residents who are not mobile and they do not have proper lifting training. During the investigation, LPA interviewed the Director of Health Services and Wellness Nurse Supervisor, reviewed training records, and reviewed resident files. Based on records reviewed, there are 3 residents who are two persons assist, however the residents do not require hoyer lifts currently. Based on observations, LPA did observe a hoyer lift at the community. According to training records, an in-service training for proper body mechanics/transfers was completed by the facility's in-house therapy, Empower Me vendor on 3/27/25. According to Director of Health Services and Wellness Nurse Supervisor, besides the Relias training that are being done in regards to proper lifting, Empower me vendor will being conducting quarterly trainings for proper lifting/body mechanics, in addition to as needed training when there is a change in condition. Based on information collected, and records reviewed, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with Director of Health Services, Layana Santos and a copy is provided.