complaint·September 4, 2024

(continued from LIC9099) Regarding the allegation: Facility staff are not responding to residents’ calls for assistance promptly. LPA reviewed the documents with the pendant call response times for 9/23/2023 (7:50 a.m. – 9:28 p.m.): Calls that took over 15 minutes to respond: seven (7) Calls that were announced nine times and never responded to: seven (7) The administrator stated call response times are expected to be less than 15 minutes. Staff are trained to at least pop in to see what the resident needs and make sure it is not an emergency. At that time, if they are busy with someone else, they should let the resident know they will be back and turn off the call notification. Sometimes staff may forget to turn off the notification. Based on the review of the pendant call response times, the allegation “Facility staff are not responding to residents’ calls for assistance promptly” is deemed Substantiated at this time. A citation was issued on complaint 29-AS-20230807101835 for the same deficiency during the same time period at the facility. Exit interview conducted. Report issued. (continued from LIC9099A) Regarding the allegation: Due to lack of supervision, resident left the facility unassisted. LPA reviewed the documents obtained during the visit. Resident 1 (R1) is able to leave the facility unassisted according to R1’s physician’s report dated 1/18/2022. R1’s diagnosis did not require annual physician’s reports. R1’s assessment dated 1/18/2022 showed they could mentally and physically follow instructions in an emergency. R1 was capable of all self-care, including administering their own medication. The only assistance R1 requested was with laundry services. A re-assessment was completed on 9/27/2023 with the same level of assistance needed. The administrator stated R1 was able to leave unassisted but R1 forgot to sign out. Facility staff were concerned because they could not find R1 and R1 did not sign out. Out of concern for R1’s wellbeing they called the police who located R1 within approximately 30 minutes and brought R1 back to the facility. Based on documentation for R1 being able to leave without assistance, the allegation “Due to lack of supervision, resident left the facility unassisted” is deemed Unsubstantiated at this time. Exit interview conducted and report issued.