Complaint Investigation Report

The investigation revealed the following:

Allegation: Licensee did not ensure that the Administrator or their designee was present at the facility as required. It is alleged that Administrator Linda hasn't been in the facility for over 1.5 years and there has been no designated Administrator during Linda's absence. LPA interviewed 4 residents and 3 residents denied the above allegation and stated that the Administrators visit daily for hours at a time and when the Administrators are not present there is a live in staff (S4) that is present and is the House Manager. LPA interviewed 5 staff and each denied the allegation and stated that Administrators are present daily for a few hours at a time, are always reachable via phone/text and that the House Manager is there regularly to assist with residents or any emergencies as they are a live in staff. During LPA’s visit Administrator arrived within 15 minutes after LPA’s arrival and was present for the entire investigation.

Allegation: Licensee accepted resident(s) with a higher level of care need. It is alleged that there are residents at the facility that require higher level of care. LPA reviewed resident files there is 1 resident (R2) who is on hospice and has a G-Tube, LPA obtained a copy and reviewed R2’s hospice health care plan with no issues. The facility is approved for 3 residents under hospice care. LPA interviewed 5 staff and each denied the allegation and stated that although they have a resident on Hospice, there is a hospice nurse that visits regularly to assist resident, during visit LPA observed a hospice nurse arrive and visit/assist resident. LPA interviewed 4 Residents and 3 residents denied the allegation and stated that they believe all residents are getting proper care, nurses are seen visiting facility and assisting with residents , and don’t believe any of the residents at the facility require a higher level of care.

Allegation: Staff do not allow resident to get food when hungry. It is alleged that staff will not allow R1 to enter the kitchen and get a yogurt or snack out of the refrigerator when R1 is hungry and will harass and ask R1 what they are doing when in the kitchen. During visit LPA observed R1 enter the living room and kitchen area freely, staff were assisting other residents, said good morning to R1 and R1 proceeded to enter kitchen, grab a snack from the refrigerator and take it to their room with no interference or harassment from staff. LPA interviewed 4 residents and 3 residents denied the allegation and stated that they are able to get snacks freely if they wish, however, due to their diasability they prefer to ask staff to get them their food/snacks. LPA interviewed 5 staff and each denied the allegation and stated that residents are free to get their own food/snacks, however, due to a majority of the residents disabilities the staff assist with this ADL. Staff stated that there is only one resident that is able to do this independently and that is R1 and they have never harassed or tried to prevent R1 from getting their food/snack from the kitchen. (continued on LIC9099-C)