complaint·September 15, 2023

Based on facility records, LPA reviewed the staffing schedule for this facility. It was observed that the facility is staffed for 13 staff members, which include administration personnel, on the AM shift from 7:30am-4:30pm, there are 12 staff members on PM shift from 3:30pm-12:00am and 8 staff members on NOC shift from 12:00am to 8:30am. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Residents are not being accorded dignity in their personal relationships with staff It was alleged that the residents are not being accorded dignity in their personal relationships with staff. During the course of this investigation LPA conducted 7 staff and 5 resident interviews. 7 out 7 staff members state that they believe that they treat the residents with respect dignity. 7 out 7 staff members deny every witnessing any other staff members not treat staff with dignity. 5 out 5 residents state that they feel welcome at the facility and deny any staff members not providing them with dignity. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Facility staff are not receiving adequate training. It was alleged that the facility staff are not receiving adequate training. During the course of this investigation LPA conducted staff interviews and reviewed facility files. Based on interviews conducted it was learned that this facility holds a new-hire orientation that includes but is not limited to, Personal care services, Physical limitations, psychosocial needs, resident's rights, and policies and procedures regarding medications. After the staff member completes training the staff member is assigned to a "buddy" to follow during the first few shifts to ensure that they are comfortable working with the residents. In addition, staff is provided annual training throughout the year. LPA reviewed staff records which confirm that orientation training and annual training have been conducted for staff. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.