complaint·October 21, 2024

Report Continued from LIC 9099... It was alleged that facility is understaffed and unqualified staff are attending residents. It is the complainant’s concern that the memory care unit has been understaffed during the evening shifts leaving one (1) staff member to attend all residents. Additionally, the staff that is being placed in memory care, do not have the training or experience to assist the residents. Record review and interviews conducted revealed that the memory care unit typically has two (2) or three (3) staff which includes caregivers and a medication technician. Per staff schedule, dated January 2024, it confirms that there are at least two (2) staff in the memory care unit for the AM and PM shifts. Additional staff interviews revealed that although staff calls out at times, there is other staff that is able to assist. Staff stated that caregivers from the assisted living side and even outside agency staff are used at times when necessary. Staff added that the front desk clerk and kitchen staff were also used to assist in memory care; however, during interviews it was revealed that staff used from different departments only assisted by escorting residents to and from their rooms before and after meals times. Furthermore, record review of three (3) randomly selected staff hired in February 2024 revealed that staff complete all necessary training through Atria University which is an online based training. Correspondingly, randomly selected staff has completed online training as well as shadowing peers for all the required hours per regulations. And although each department requires different training, all facility staff are first aid trained upon hiring. Based on the information obtained through record review and interviews conducted, the Department does not have sufficient evidence to support the allegations of “facility is understaffed” and “underqualified staff are attending to residents”. Therefore, these allegations are deemed Unsubstantiated at this time. It was also alleged that due to facility staff neglect, incontinent residents are being left in soiled diapers for extended periods of time. It is the complainant’s concern that staff is double briefing residents to limit the times residents are being changed. Interviews conducted with staff revealed that incontinent residents are changed every two (2) to three (3) hours. Staff stated that some residents require changing more often than others and are checked more often to ensure they are not left in soiled diapers. Staff added that they are aware of which residents require more changing as it is placed in the resident’s care plan. Interviews conducted with residents revealed that staff often check on them throughout the day and assist with their toileting needs when requested. Report Continued on LIC 9099C... Report Continued from LIC 9099C... Residents stated that they use their pendants to request for staff assistance and staff usually arrives at a decent time after the request. Furthermore, residents did not report any concerns while living at the facility. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “due to facility staff neglect, incontinent residents are being left in soiled diapers for extended periods of time”. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted. Report was reviewed and copy issued.