Complaint Investigation Report

Allegation: Due to lack of supervision, residents are going into resident rooms

The allegation alleges that staff do not prevent residents from going into another resident’s room.

During the facility inspection, LPA observed the Resident Rights and House Rules posted in the hallway in the entrance of the facility. Additionally, LPA observed there are cameras in common areas and hallways in the facility.

LPA received and reviewed the Admission Agreement (dated 04/14/2021 that states on Page 8, number 12, titled Facility Visiting Policy states “b) Rooms are available for confidential visits and d) Visiting between facility residents should be done in common areas in the facility. Such visiting in shared resident rooms is permissible providing the resident's roommate does not object to such.” Additionally, LPA received and reviewed the Attachment 2 - House Rules - page 17 number 13. that states Visiting is encouraged to take place in common areas. LPA reviewed resident’s Narrative Charting that states R1 was observed, by staff entering the wrong room and was redirected to the correct room. LPA was informed name plaques were added to doors for residents to know which room is theirs.

During interviews with Staff S1-S8, were asked how they ensure unwanted residents or visitors do not enter a residents room uninvited, eight (8) out of eight (8) stated they supervise residents and if they see a resident enter another residents room they go ensure it is okay for them to be in there by both residents who’s room it is. Additionally, Staff S1-S8 were asked if there have been any incidents or complaints of a resident or visitor entering a resident’s room uninvited, four (4) out of eight (8) no, there have been no complaints or incidents of a person entering a resident’s room uninvited. Two (2) out of eight (8) stated a resident complained their roommate brought visitors into their room. And two (2) out of eight (8) stated a resident wandered into a room that was not theirs.

During interviews with Residents R1-R11, were asked if they feel there is enough staff to provide supervision to the residents, ten (10) out of eleven (11) stated they feel there is enough staff to provide supervision to the residents. Additionally, Residents R1-R11, were asked if they had another resident or visitor enter their room without their permission, two (2) out of eight (8) stated they have had a visitor or resident enter their room uninvited, one stated a resident wandered in and the other stated their roommate brought visitors into their room without asking.