Complaint Investigation Report

Allegation: Facility illegally evicted a resident in care

During investigation, the department conducted interviews of staff and reviewed R1’s signed admission agreement dated 08/18/20 which showed that the facility manager (ED) may terminate the signed agreement at any time upon thirty days written notice to the resident (R1). A written 30-day eviction notice was delivered to R1 on 02/06/24 by ED due to R1's failure to comply with the general policies of the community after multiple verbal & written warnings and conference meetings were held by ED with R1 and responsible party to resolve the inappropriate behaviors displayed by R1 towards staff from 03/2022 until 01/2024. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that facility illegally evicted a resident in care is unsubstantiated.

Allegation: Facility did not ensure that resident’s call system was operable

During investigation, the department conducted interviews of staff and reviewed resident’s (R1) call logs and incident reports. Executive Director (ED) stated that R1 had an un-witnessed fall early AM in his bathroom on 05/04/23. ED stated that R1's call pendant was not working that day and immediately had maintenance repair the call pendant the same day. Review of R1’s incident report dated 05/04/23 showed staff notified R1’s authorized representative (POA) and primary care physician (PCP) of incident involving R1's un-witnessed fall in independent living and that R1 was sent to the hospital for evaluation on 05/04/23. R1’s call logs dated 05/04/23 showed staff checked and cleared R1's activated call pendant at 9AM and 3PM. ED stated monthly checks are conducted on all residents' call pendants to ensure that they are operable. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that facility did not ensure that resident’s call system was operable is unsubstantiated.

No deficiencies cited on this date. Exit interview conducted and a copy of this report provided.