Complaint Investigation Report

Allegation: Staff did not respond to resident in a timely manner

It was alleged that on 9/10/2024, at about 2:30 or 3:00 AM, R1 could not breath and called the staff and no one responded for about 15-minutes. To investigate this allegation, LPAs conducted an interview with the Administrator and were informed that when an incident occurs with the resident, the staff must immediately call 911 and then notify the Administrator. Interview with S1 revealed that R1 was periodically checked on a day of an incident. LPAs were also informed that last time R1 was checked on was at 12:30am and S1 started a laundry, which is located in the garage. S1 confirmed that due to the washer and dryer noise, S1 did not hear R1 calling for help (around 2:30-3:00am), therefore, S1 provided help 15-minutes later. S1 also confirmed that the Administrator was immediately contacted and the Administrator instructed S1 to hang up and call 911. Based on interviews and information gathered, during today's visit, this allegation is Substantiated.

Exit interview conducted and copy of this report signed and delivered.