complaint·January 17, 2023

Continued from LIC9099A Reporting Requirements - Complaint alleges that facility did not report the recent Covid outbreak or the elopement of resident, R1. Administrator provided LPA a fax that was sent in November 2022 for an incident with a resident. On the cover sheet of the fax the Administrator indicated that there was also Covid in the building. While LPA confirmed receipt of the incident report, the cover sheet was not seen by LPA when incident report was received. LPA has discussed with Administrator that while technically they notified the Department, the information provided was not sufficient. LPA clarified with Administrator what was needed when reporting and Administrator indicated they understood. Per conversation with Administrator regarding the alleged elopement, Administrator stated that they did not report it because it was their understanding that the resident was found on the property. LPA indicated to Administrator that per review of the police report, the resident was found on the sidewalk so was not on the property. Review of resident's Physician's Report indicates that resident is able to leave the facility unassisted. A finding that the complaint allegations that F acility staff are not following resident's care plan and Reporting Requirements was unsubstantiated meaning that although the allegations may have happened there is not a preponderance of evidence to prove that the allegations occurred. No deficiencies cited.