Complaint Investigation Report

Regarding Allegation #1: Facility personnel are always not sufficient in numbers to prevent residents from falling.

This complaint alleged that facility personnel are not sufficient to prevent residents from falling. LPA Calderon conducted an interview with A1. A1 expressed that the facility is not understaffed, and residents do not fall due to lack of staffing. A1 said that the facility has floaters that work on each floor as needed. A1 expressed that staff need to do is call for assistance and a nurse, LVN or floater will be there to help with residents’ needs. LPA Calderon conducted an interview with S1-S8. 8 out of 8 staff expressed that the facility is understaffed, and residents fall due to health condition and staffing issues. 8 out of 8 staff state that the resident to staff ratio on average is 8 to 1 per floor. 8 out of 8 staff said that there are higher ratios on different floors and that there are 2 staff floaters that help with the care of residents. 8 out of 8 staff state that there are 2 staff med-tects in the facility to support the care staff with the needs of residents but for the most part there is only 1 staff member on any floor and falls do happen. LPA Calderon attempted to interview R1-R6. 6 out of 6 residents were unable to communicate due to impairments.

Regarding Allegation #2: Facility personnel are always not sufficient in numbers to answer resident call button in a timely manner.

This complaint alleged that there is not enough staff to answer residents call button. LPA Calderon conducted an interview with A1. A1 expressed that the day shift and night shift are different because most residents are sleeping on the night shift and there are less residents that push the call button. A1 expressed that there is an 8 to 1 ratio and 2 floaters and 2 med-tecks that work each day and night shift and any time a call button is pushed staff answers. A1 expressed that there are no staffing issues and there are enough staff to answer call buttons within 3 to 7 minutes. LPA Calderon conducted an interview with S1-S8. 8 out of 8 staff said that most of the time the call button is not pushed at night as residents are sleeping. 8 out of 8 staff expressed that on average the call button is pushed more often in the daytime as most residents are out of bed. 8 out of 8 staff state that there are not enough staff to answer the resident call button and on average it takes 5 to 10 minutes depending on the resident situation. LPA Calderon attempted to interview R1-R6. 6 out of 6 residents were unable to communicate due to impairments.