complaint·April 15, 2025

Continued from LIC9099 Although documents obtained of incident reports for resident (R1) going to the hospital submitted to Community Care Licensing (CCL) do not support R1 went to the hospital on 1/6/2025 or 1/9/2025 or in January 2025 via 911 emergency. LPAs interview with responsible party revealed the two indicate dates referenced were doctors’ checkups, not visits to emergency. On 3/4/2025 while at facility LPA observed and learned facility call bell system JERON, located in the nurses’ station, is older and does not print out a history of calls/when cords or buttons are pushed for help. LPA observed for 30 minutes system alarm going off that indicated room number and location (either bedroom/bathroom, etc) with a loud beeping noise that doesn't stop until staff push a button. Nurses station staff then call on walkie talkie to all staff for the nearest available to respond to resident, a staff then will reply they are handling. LPA observed calls being responded to in an appropriate amount of time. Responsible party also informed incident R1 referenced, occurred on 11/1/2024. Staff schedule indicates on Am shift there were 4 caregivers & 2 Med techs, on PM shift there were 3 caregivers & 1 med tech, & on NOC shift, 2 caregivers & 1 med tech. Investigation revealed there was no information obtained to support a violation occurred. The incident complainant has referenced 11/1/2024 was regarding a complaint that had already been investigated from 11/2024 # 21-AS-20241105153420 found unsubstantiated. Interviews conducted and documents reviewed revealed there was insufficient evidence to substantiate the allegation. Although the allegation may be true, based upon the review of documents and statements provided, there is not a preponderance of evidence to prove, or disprove, the allegation. Therefore, the complaint is UNSUBSTANTIATED .