Complaint Investigation Report

Regarding the allegation, Licensee is retaining a resident with a higher level of care need: It is being alleged a client requires additional assistance from staff that they are not receiving and the client is unable to ambulate throughout the facility resulting in an injury. LPA Spaeth reviewed the clients’ physician’s report and observed what assistance the clients require for their activities of daily living. Three clients (C1-C3) confirmed they receive the assistance they need from the staff and, also confirmed they have not been injured due to staff neglect. C4 was unavailable for an interview. Based upon LPA’s review of the clients’ records and client interviews, the clients’ needs are being met.

Three staff members (S1-S3) confirmed they provide the assistance the clients need each day and stated a client has not been injured due to staff neglect. During LPA’s 2/13/2025 visit, LPA observed C1-C3 were able to ambulate throughout the facility with no issues. C4 was not available for observation.

Regarding the allegation, Staff are not allowing resident to make phone calls while in care: It is being alleged the clients do not have access to the facility phone. C1-C3 unanimously confirmed staff allow clients to use the facility phone. C4 was unavailable for an interview. S1-S3 denied this occurred.

Regarding the allegation, Staff are not according resident dignity while in care: It is being alleged staff refuse to assist a client in care resulting in a client wetting themselves. C1-C3 denied this occurred. S1-S3 unanimously confirmed they assist clients when clients request their help.

Based upon LPA’s review of client records, interviews and LPA’s observations, the above allegations are unsubstantiated .

Exit interview conducted and a copy of the report was given.