Complaint Investigation Report

The investigation revealed the following:

In regards to the allegation: "Staff pushed resident out of their wheelchair while in care." It is alleged that R1 was pushed out of her wheelchair. No other information provided. Interviews conducted with (5) of (5) staff all denied the allegation. Staff interviewed indicated that they have never pushed any resident, nor have they observed any other staff push any of the residents out of their wheelchair. Staff stated that if they observe residents needing help, they assist in pushing the residents' wheelchair with their consent. (10) of (10) residents interviewed denied the allegation and indicated that staff treat them with dignity, and they feel safe at the facility. (5) out of (10) interviewed residents use wheelchair and stated that they were never pushed out of their wheelchair nor observed any staff push any of the residents out of their wheelchair. Therefore, there was insufficient evidence to corroborate with the allegation.

In regards to the allegation: “Staff locked resident in their room while in care.” It is alleged that R1 was locked into the room and that staff would tie the bedroom's doorknob to a metal railing with a sheet so R1 could not get out, and was left there for hours. (5) out of (5) staff interviewed denied the allegation. Staff interviewed stated that they would never lock any resident in their bedroom as it is against the law and a violation of the residents rights. (10) out of (10) interviewed residents denied the allegation. Interviewed residents stated that they have never been locked in their bedrooms by staff nor have seen any other residents being locked in their bedrooms. During the visit, LPA tested R1's bedroom door lock and observed that R1's bedroom cannot be locked from the outside. LPA also observed that there is a sliding door in R1's bedroom that leads to the back patio area and can be used as entrance/exit to R1's bedroom. Additionally, LPA did not observe any metal railing near R1's bedroom door. Therefore, there was insufficient evidence to corroborate with the allegation.