Complaint·September 10, 2024

management and attempted to interview residents. Management indicated that there had been reports around January or February that staff were sleeping during their shifts. Management proactively conducted night audits and observations of the NOC staff. As a result of the audits, 2 (two) staff were terminated from employment at that time. LPA confirmed that ED was first associated with the facility on 01/22/2024 and ED stated that this had occurred around the time of his employment with the facility. Staff interviews revealed that there have been no other staff observed sleeping while on shift, nor have any staff heard of this occurring in the last 6 (six) months. NOC care staff indicated they work together during the shift to ensure both staff are awake, alert, and caring for the residents properly. Additionally, a nurse works during the NOC shift, who walks the building and frequently checks in with the care staff to ensure there are no problems or concerns. All staff interviewed indicated it would be nearly impossible for staff to sleep on NOC shift with the way they are currently operating. At the time the complaint was received and for the previous 6 (six) months, there were no reports of staff sleeping on NOC shift. Residents observed appeared well cared for and content but were unable to be interviewed. Based on interview, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “staff are sleeping while on working hours” is deemed UNSUBSTANTIATED at this time. No deficiencies cited during this visit. Exit interview conducted with Director of Health Services. A copy of the report was provided.