complaint·April 30, 2021

Facility has awake staff at night shift as per facility program and policy. LPA observed virtually during visit that occurred on 1/21/2021 resident’s bedrooms, and required postings for COVID. Documentation provided by the facility shows a shower schedule which as per facility manager Chris has been performed except when resident refuses a shower. If resident refuses a shower, shower is rescheduled for next day. In addition, residents are to be changed as needed during all shifts including overnight shift – NOC shift. Based on documentation reviewed (on file), interviews (see LIC 812s), and observations LPA wasn’t able to prove or disprove the allegation stated above. A finding that the complaint allegation of “Staff are not meeting resident’s needs.” is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during this inspection.