Complaint Investigation Report

During interview with staff, LPA observed sufficient supplies in every department. Each department has a budget and uses Amazon Business to order supplies. Each department head has the task of ordering supplies on a monthly basis for the department he/she oversees. Orders are submitted and later approved by management, then supplies are delivered. If a department were to run low, or out of a supply, other departments will offer supplies until new supplies come in. Department heads also have access to a company credit card for emergency use. As long as staff go through the appropriate channels to order supplies, supplies get approved within a few days.

Allegation: Staff are not adequately trained.

Investigation Finding: Based on file review, training logs and staff interviews, this allegation is Unsubstantiated. Staff are adequately trained and detail logs of training are kept. Monthly all-staff meetings have different training provided. Staff are told in advance of when and what topics are going to be covered. Staff are also trained through Assisted Living Education (ALE) with records and certificates kept.

Allegation: Staff are not following reporting requirements

Investigation Finding: Based on staff interviews, death reports, and Unusual Incident Reports (UIRs) delivered to the department, this allegation is Unsubstantiated. Staff are required and encouraged to report any incidents and deaths to the Executive Director. Executive Director Kirsten Korfhage submits all reports to the department in a timely manner. LPA receives digital copies and the department retains copies.

Allegation: Staff are not evaluating changes in resident's condition as required

Investigation Finding: Based on record review and staff interviews, assessments of residents are being conducted. This allegation is Unsubstantiated. LPA reviewed and obtained copies of assessments for five (5) residents. Each resident had proper assessments. Previous record review from annual inspections also show resident assessments and evaluations were being conducted.