complaint·April 5, 2024

Continued from LIC 9099... It was alleged that lack of care and supervision resulted in resident falling. It was reported that Resident #1 (R1) fell two (2) times while residing at the facility. Records reviewed and interviews conducted revealed that R1 was admitted to the facility on 08/29/2023 and was only a respite resident for about three (3) days. Incident Reports were reviewed for R1. Per incident reports submitted for dates, 08/29/2023 and 08/30/2023, it states R1 had two (2) separate unwitnessed falls at the facility. However, staff responded as soon as they observed R1 was on the floor and contacted 911 to have R1 evaluated and taken to the hospital to ensure R1 had no injuries caused by the falls. Interviews conducted with staff revealed that residents are typically checked on at least once every two (2) hours unless their care plan indicates differently, depending on the resident’s needs. Additionally, all residents in assisted living have a pendant which they carry at all times in case of an emergency. Staff stated the goal for response time after a pendant has been activated is between 3 to 5 minutes. Staff stated that sometimes it might take a bit longer due to them assisting other residents. However, staff stated they try and take care of the residents needs as best as they can. Interviews conducted with residents revealed that they have no concerns with the response time from the staff as they respond in a timely manner after they have pressed their pendant and added that they have not waited for long periods of time. Furthermore, during the resident interviews, residents denied having any concerns with the care provided by facility staff and added that staff are easily accessible whenever they require assistance. Based on the information obtained and reviewed, there is insufficient evidence to support the allegation on “ack of care and supervision resulted in resident falling”. Therefore, this allegation is being deemed Unsubstantiated at this time. It was further alleged that resident’s personal rights are being violated. To investigate this allegation, interviews were conducted with current staff members and random residents. Interviews with staff revealed that residents have not reported having their personal rights violated. Additionally, staff denied any claims of violating resident’s personal rights. Interviews conducted with residents revealed that staff assist them, and while doing so, staff has not forced them to do anything that they did not want at any time while living at the facility. Furthermore, during the resident interviews, seven (7) out of seven (7) residents denied having their personal rights violated and did not report having any concerns while living at the facility. Based on interviews conducted with facility staff and residents, there is insufficient evidence to support the allegation of “resident’s personal rights are being violated”. Therefore, this allegation is being deemed Unsubstantiated at this time. Exit interview conducted. Report was reviewed and copy was issued.