complaint·May 20, 2025

The LPA conducted interviews with staff, and other related parties. Per review of records, observations, and information obtained, the investigation revealed there was no information obtained that the facility was restricting resident’s ability to have visitation. There was information reviewed and obtained of communication from administration staff to a current staff (S2) (at the time), of facility employee handbook policy and procedures. The communication documentation stated in writing the responsibility of the facility staff to ensure compliance with the employee handbook and facility policies/procedures regarding employment, and any interactions with residents of the community. The documentation reviewed referred to policy and procedures of a former staff regarding “community visits” when employment ends, interactions with staff during their visits, and requirements of a “resident companion” that need to be complied with, if they are a resident companion. Per interviews, former staff does come into the community to visit with R1. There was differing information obtained from parties interviewed; There was no information obtained in the investigation to support a violation had occurred. Per the investigation regarding the allegation that “staff is restricting resident's ability to have visitation” is unsubstantiated. Based on LPA interviews, record/document reviews, and related information obtained during the investigation, the allegation 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. No deficiencies cited.