complaint·March 8, 2025

Allegation: Staff made inappropriate comments to resident. It was alleged that staff made inappropriate comments to residents. During the course of this investigation, LPA conducted staff and resident interviews. Based on interviews conducted with 5 staff members, 5 out 5 staff members deny making inappropriate comments to residents. 5 out 5 staff members deny seeing any staff members speaking inappropriately to residents. An interview with 8 residents were conducted. 8 out 8 deny that staff speak to them inappropriately. Based on the information gathered, it is unclear that the staff made inappropriate comments to residents. Allegation: Resident's personal belongings are missing. It was alleged that resident’s personal belongings are missing. During the course of this investigation, this LPA reviewed facility records and conducted resident interviews. Based on interviews conducted, 8 out 8 residents state that they have not missed any important items. 1 out 8 state that they had a shirt go missing once but that something of not large importance. LPA reviewed facility records. Records show that the facility conducts inventory logs when residents are admitted to the facility and will update as needed. Based on the information gathered, it is unclear if the resident’s personal belongings have been missing. Allegation: Staff opened resident's packages without permission. It was alleged that staff opened resident’s packages without permission. During the course of this investigation, LPA conducted staff and resident interviews. Based on interviews conducted with 5 staff members, 5 out 5 staff members denied opening up resident packages. 5 out 5 staff members deny seeing any staff members open the resident’s packaging without permission. An interview with 8 residents were conducted. 8 out 8 deny that staff open their packages and have not seen anything suspicious that would indicate it. Based on the information gathered, it is unclear that the staff opened resident’s packages without permission. Allegation: Staff did not note a change in resident's condition It was alleged that staff did not note a change of resident’s condition. During the course of this investigation, LPA conducted staff and resident interviews. Based on interviews conducted it was learned that R1 was consistently demanding changes to their care plan however when changed R1 would change their mind and revert back the care plan. Many times, the facility would send the resident out to the hospital to doctors visits to check for any changes however, R1 would refuse care. In addition, LPA reviewed daily notes for R1 which document the attempts to assist R1 with their care. Based on this information gathered, it is unclear if the staff did not note a change of resident’s condition. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.