Complaint Investigation Report

Residents were left unsupervised: facility has two live in staff and one awake staff during night shift, 5 staff are working during the daytime including Administrator. Administrator stated clients are never left unsupervised.

Facility failed to drain resident's catheter: C5 had a temporary catheter in place back in January 2021 lasted for about two weeks, staff was draining the catheter bag every 2-3hrs and documented the urine output per doctor’s order.

Therefore, based on interviews and record reviews the allegations are Unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur.

Exit interview was conducted and a copy of this report was provided.