Complaint Investigation Report

The investigation revealed the following:

Allegation: Residents are being sexually abused while in care

It is being alleged residents are being sexually abused while in care, there was no specific resident identified, no date nor time indicated and no specific details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation and reported being unaware of any resident being sexually abused. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. LPA conducted file review and there were no incident reports on file for the above allegation.

Allegation: Residents are being physically abused while in care

It is being alleged residents are being physically abused while in care, there was no specific resident identified, no date nor time indicated and no specific details provided. On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation and reported being unaware of any resident being physically abused while in care. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation. LPA conducted file review and there were no incident reports on file for the above allegation.

Allegation: Staff mismanage residents’ medication

On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. 2 of 9 staff interviewed reported being responsible for conducting quality assurance and reported not findings and discrepancies. On 09/29/23 LPA and LPM interviewed R1-9, 8 out of 9 residents denied the allegation. 1 of 9 residents interviewed reported having 1 pill missing and error was fixed. On 09/29/23 LPA conducted review of 9 medication administration records and did not observe any discrepancies. On 04/04/23 LPA Gibbs reviewed staff records and obtained a copy of medication training for staff that administer medications.

Allegation: Residents are being financially abused while in care

On 09/29/23 LPA and LPM interviewed S1-9, 9 out of 9 staff denied the above allegation. On 09/29/23 LPA and LPM interviewed R1-9, 9 out of 9 residents denied the allegation of being financially abused. 4 out of 9 residents interviewed reported family or self being financially responsible for finances, 5 out of 9 residents interviewed reported the facility is responsible for their finances. On 04/04/23 and 09/29/23 LPA reviewed P&I ledgers and receipts and did not observe any discrepancies.