complaint·March 22, 2023

LPA toured the facility, interviewed the Administrator, staff, and R1 between 10:03AM - 10:50AM. LPA also obtained copies of pertinent documents. Records reviewed revealed that R1 was admitted to facility on 04/02/2022 and moved out on 06/01/2022. Physician report dated 03/02/2022 and Resident Appraisal dated 03/30/2022 did not indicate any special needs for supervision as there was no indication of R1 having any wandering or exiting behavior. According to staff and Administrator at the time of the incident (05/18/2022) involving R1, the facility census was two (2) and one staff on duty at the time was sufficient. Administrator and her husband live and work at the facility as well. Interview with Staff, Administrator, and resident revealed the staff provided the care, and supervision to meet the need of both residents in care at the time. Administrator explained that R1 was living at home in a bad environment which resulted in R1 being hospitalized. Administrator stated R1 was fine upon admission to her facility. According to Administrator R1 began exhibiting unusual behavior and they did everything to meet R1’s needs by communicating with R1’s conservator to arranging doctor appointments; R1 was assisted with dressing/grooming, bathing and toileting needs every day. Administrator stated that one staff on duty was sufficient since R2 was self-sufficient in perform all activities of daily living but bathing. Following this one incident which happened on 05/18/2022 Administrator ensured two (2) staff were available at the facility at all times for the safety of R1 and R2 until things subside and/or new placement was found for R1. During todays visit, three out of three resident observed/interviewed at approximately 1pm observed in good spirits; reported that they are happy and well taken care; feel safe at the facility. Based on the interviews conducted and records reviewed there is insufficient evidence to support allegation. Therefore, allegation "Resident care needs not met" is deemed unsubstantiated at this time. Exit interview conducted and copy of report provided.