Complaint Investigation Report

Allegation: Licensee does not ensure that the facility has enough staff to meet the needs of residents in care .

The complaint alleges that R1 was walking towards the front door when R1 lost balance and fell to the ground and facility staff was unable to lift R1 to R1’s feet, staff then called 911 for assistance. Facility staff allegedly told the paramedics that “they do not have enough staff to lift someone.”

On 4/11/25 at 9:45am, LPA interviewed Administrator (A1) who denied allegation and stated that the facility has sufficient staff to meet residents’ needs. On 4/11/25 between 10:45 am and 12:00pm, LPA interviewed 5 staff (Staff #1-5) and Assistant Administrator (A2) regarding the allegation; 5 out of 5 staff and A2 denied the allegation and reported that there is enough staff to meet the needs of the residents. On 6/19/25 during subsequent visit, between 1:00pm and 2:00pm, LPA interviewed 3 staff (S6-S8); 3 out of 3 staff interviewed denied allegation and reported that they never told paramedics that “they do not have enough staff to lift someone” as mentioned in the complaint. 3 out of 3 also stated that there is enough staff to meet the residents needs. On 4/11/25 between 1:00pm and 2:00pm, LPA interviewed 5 Residents (Residents #1-5). Of the 5 Residents interviewed, 5 out of 5 denied the allegation. 5 out of 5 stated that their needs are taken care of and that there is enough staff to meet their needs. On 4/11/25, LPA observed sufficient staff present at time of visit. On 4/11/25 and 6/19/25, LPA obtained, reviewed, and evaluated staff schedules and resident roster (current and week of incident) and found that sufficient staffing is maintained at the facility to meet the residents’ needs.

Based on the information gathered, there is insufficient evidence to support the stated allegation