Complaint Investigation Report

Staff stated that the drills are mainly for staff and do not include the residents. However, the administrator stated that they are planning to provide residents with the procedures of an emergency and possibly an evacuation drill. LPA received copies of the report and observed that drills of different scenarios are being conducted at least quarterly for each shift. LPA interviewed nine (9) residents. Three (3) out of the nine (9) residents stated that the facility is conducting drills for staff. The rest of the residents are not sure if emergency disaster drills are being conducted. Based on record review and interviews, the facility is conducting emergency/disaster drills at least quarterly for staff.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with the Administrator. A copy of this report, along with the appeal rights, was provided.