complaint·January 19, 2024

LPA investigated the allegation, “Staff did not follow resident's care plan.” The Administrator reported that all care plans are created collaboratively with staff and adjusted when there is a change in condition for the residents in care. LPA observed 2 resident files which had current Individual Program Plans in the file. LPA investigated the allegation, “Staff did not allow a resident to go on an outing.” During the investigation, it was reported by all staff persons that all residents have the opportunity to attend regular scheduled outings and if these outing are missed they are rescheduled for the resident. LPA investigated the allegation, “Staff did not seek medical attention for a resident in care.” During the investigation, it was reported by all staff persons the protocol for when residents fall or when there is a change in condition for a resident. All staff appeared to be well versed in the policy and procedures for ensuring timely medical care for residents. LPA investigated the allegation, “Staff spoke to resident in an inappropriate manner.” During the investigation, it was reported by all staff persons that no staff members use inappropriate language toward residents in care or have they observed staff members speaking inappropriately toward residents in care. R1 stated that no staff member has ever spoken inappropriately towards her or any other residents. LPA investigated the allegation, “Staff left resident in a soiled diaper for a long period of time”. During the investigation, it was reported by all staff persons that residents with incontinence are checked hourly. The administrator reported that there are more staff at this facility to ensure that residents with incontinence have more attention to ensure that they are changed frequently. This agency has investigated the complaint alleging “Staff did not follow resident's care plan, Staff did not allow a resident to go on an outing, Staff did not seek medical attention for a resident in care, Staff spoke to resident in an inappropriate manner, Staff left resident in a soiled diaper for a long period of time”. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to the assistant administrator, Ana Virgen.