complaint·March 4, 2025

Continued from LIC9099... Regarding call system staff indicated that the process consists in the alarm located in the hallway by the medication room will alert the staff that a resident needs assistance, the device will state the room number that needs assistance, when the residents pull their alarm pendant that it is usually maintained on their neck, which it was confirmed by residents (R3 & R4) interviewed by LPA; Then the staff who will assist the resident will turn off the alarm and will go help the resident. Although, staff revealed that call responses are not documented by the facility, they ensured that they are responding timely to calls from residents in care. During interviews with staff, LPA learned that R1 had a tendency to pull their pendant and when staff arrives to their room, they will pretend like if they were sleeping. Residents interviewed by LPA stated that they are been assisted by staff when needed and they were able to locate their pendant when they need to call staff for assistance. LPA attempted to speak with R1, but they are no longer residing at the facility. R2 refused to talk with LPA. Based on records review, the facility documents medication, care, get out of bed and food services refusal in a log created by the facility, LPA was provided with log for the month of December 2024 and January 2025, where it was confirmed that both residents tend to refuse services and care provided by the staff. Resident’s (R1 and R2) physician report confirms that they need assistance with self-care including bathing and dressing. Although, LPA reviewed personnel report (LIC500) and timesheets for the month of December 2024 did not indicate any supportive evidence that there was a lack of supervision to residents in care. LPA is unable to determine if there had been any time when staff did not respond to resident’s calls at any prior date. A finding that the complaint allegation occurs of lack of supervision is unsubstantiated meaning that although the allegations 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.