complaint·January 9, 2024

In addition, facility COVID protocols indicate that, if an individual tests positive for COVID-19 they must isolate with transmission-based precautions and staff providing care must wear appropriate PPE. It also states that isolation can end after day 5 if: - Symptoms are not present, or are mild and improving; AND - Individual is fever-free for 24 hours Interviews with lead medtech and nursing staff (S1, S2 & S3) were found to be consistent indicating that staff followed protocol to isolate COVID positive residents as well as encourage the use of masking. However, based on residents' diagnoses of Alzheimer's or Dementia as the facility is a full memory care unit, resident were often unable to follow or refused guidance or isolation techniques. S1, S2 & S3 stated that additional protocols of adjusting meal and activity times for better mitigation were implemented. Due to a lack of corroborating evidence and conflicting information, the allegation is found to be unsubstantiated. A finding that the complaint allegation staff do not follow infection control protocols is 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 allegation is UNSUBSTANTIATED. No deficiency cited.