Complaint Investigation Report

In regard to the allegation “Staff did not provide adequate supervision resulting in resident eloping”, it is alleged that C1 has eloped several times due to lack of supervision. During interviews with Administrator and staff four (4) out of four (4) stated that C1 would leave, and that staff would follow C1 and then call 911 for help. Administrator stated there has been several police report made. LPA was able to obtain copies of police reports. During interview C1 client stated that they would just leave because they were dealing with their illness. C1 stated that there was a lot of staff at home to watch him/her.

In regard to the allegation “Staff did not administer medications as prescribed”, it is alleged that staff gave client medication without food. During interviews with Administrator and staff four (4) out of four (4) stated that all clients get medicine as prescribed, and all directions are followed. During interviews with clients two (2) out of two (2) clients stated that they have never had any problems with medication. During record review LPA obtained copies of C1’s instruction for medications which stated medicine can be taken with or without food.

In regard to the allegation “Staff mismanaging residents’ P& I fund”, it is alleged that C1 never received his/her P & I money. During interviews with Administrator, it was revealed that C1 had never received his/her P& I card during time of stay at facility. LPA was able to verify card in FedEx shipping envelope with a delivery date of 07/24/2025. Facility is waiting for instructions from service coordinator with what to do with card. Administrator stated even though no money was received client still was provided everything that they needed. During interviews with residents one (1) out of two (2) clients stated that they received their P & I money on time.

In regard to the allegation “Staff did not ensure residents’ hygienic needs were being met.”, it is alleged that C1 was not provided hygiene and had to purchase soap. During interviews with Administrator and staff four (4) out of four (4) staff stated that facility had more than enough hygiene products. LPA toured the facility and observed a sufficient supply of hygiene products in closet. During interviews with residents two (2) out of two (2) clients stated that staff provides hygiene products for them.