Complaint Investigation Report

In regards to the allegation "Resident(s) emergency buttons are not working." it was alleged that the emergency buttons in R1 room were not working. (6) of (6) staff interviewed denied the allegation. (5) of (5) Residents interviewed could not corroborate the allegation. LPA observed room #222 and pressed the emergency buttons during the initial visit. LPA observed staff arrive to check on the room and turn off the signal in sufficient time. LPA also tested the emergency button in room # 218 and observed the same response. Interviews with staff did not state that the emergency buttons were not working at any time. Based on the interviews conducted and observations, the investigation revealed; 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

In regards to the allegation "Resident sustained unwitnessed falls while in care. " it was alleged that R1 was alone and had two unwitnessed falls in the facility. (6) of (6) staff interviewed denied the allegation. (5) of (5) Residents interviewed could not corroborate the allegation. LPA was not provided with dates of when the falls occurred. LPA reviewed facility files and R1's file and did not observe incident reports of R1 sustaining falls in the facility. Interviews with staff did not show R1 had unwitnessed falls in the facility. Based on the interviews conducted and records review, the investigation revealed; 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

In regards to the allegation "Resident was left unattended for an extensive period of time while in care." it was alleged that R1 had to wait for extensive periods of time to receive help from the staff. (6) of (6) staff interviewed denied the allegation. (5) of (5) Residents interviews could not corroborate the allegation. Interviews state that staff perform routine check ins to resident rooms when they are not out in community rooms. Interviews do not state that staff will ignore residents in need of help. LPA observed, both on 6/1/22 and 2/13/23, that staff periodically walk into resident rooms to check in on residents. Based on the interviews conducted and observations, the investigation revealed; 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

In regards to the allegation "Resident is not being fed a sufficient amount of food while in care." it was alleged that on 5/22/22 R1 was not being provided a sufficient amount food and was hungry...