Complaint Investigation Report

After review of staff files, it was discovered that staff do not have proof of required annual training certification for the year 2022. During the interviews conducted with S2-S3, it was also confirmed that no annual required training has been completed this year. S2 stated that Hospice and Home Health agencies usually come to the facility to provide in-service training; However, there is no file kept in the facility to keep proof of training provided/obtained.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the allegations are found to be substantiated. The deficiencies are being cited on the attached LIC9099-D.

An exit interview was conducted with administrator Gregg Knapp and a copy of the report and appeal rights were provided.