Complaint Investigation Report

Regarding allegation: Staff neglect resulted in a resident sustaining a death. It was alleged that there was one occasion where a resident had passed away in his room and no one knew or found him until 3 days later when resident’s son called for a welfare check. Interviewed Executive Director, Wellness Director and (4) of (4) staff denied the allegation. (10) of (10) residents interviewed could not corroborate the allegation. Interviewed FM stated that they spoke with R1 every day. FM stated that R1 never expressed dissatisfaction about facility. R1 always said that he/she felt very comfortable at the facility and facility staff very attentive and caring towards him and other residents. Facility staff always kept FM informed about R1. FM stated that Facility staff were very caring and R1 died a natural death, and FM has no concerns about that. Staff informed FM of the death on the same day R1 died and staff did everything right. Executive Director stated that he was at the facility on 06/08/24 from 5:00 am and stayed to about 9:00 am. Executive Director saw R1 at the Bistro around 8:00 am having breakfast. They chatted briefly, which was normal for them. Later that evening R1 had passed and by the protocol, staff called 911 and family members were notified. Wellness Director stated that facility staff monitor all resident's closely to assess and determine if there is an immediate concern that requires immediate attention. There has never been a case where a resident passed away in his room and staff were not aware of it. Interviewed S1, S2, S3, S4 stated that staff frequently check on residents and there was no incident that resident passed away at the facility and staff didn’t know about that until 3 days.