Complaint Investigation Report

The details of the complaint alleged that the staff does not respond promptly to the residents call button. It is alleged that residents must wait up to one hour for assistance when they push the call button for assistance. On 3/5/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. Staff (S1-S4) denied the allegation that the Staff do not respond in a timely manner to residents' calls for assistance. Staff (S1-S4) stated that they do respond in a timely manner when residents ask for assistance. All staff stated that the average wait time for assistance is 15 minutes or less.

The Department interviewed residents (R1-R8) about the allegation and 5 of 8 residents that were interviewed denied the allegation that Staff do not respond in a timely manner to residents' calls for assistance. The majority of the residents interviewed (5 of 8) stated that the staff does respond in a timely manner if they need assistance. They state on average it takes about 15 minutes or less to get help and are satisfied with the services provided.

The Department reviewed the staff roster (Dated: 02/27/2025) and observed that there is a sufficient number of staff to meet the needs of the residents. Additionally, the department reviewed the In-Service Trainings (Dated: 11/2024- 2/2025) and observed that the staff had the required trainings in personal rights of residents.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff do not respond in a timely manner to residents' calls for assistance. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .

Allegation #2- Staff do not ensure that residents are provided with planned daily activities.

The details of the complaint alleged that the facility, for the past two months, is not ensuring that the residents have planned activities because there is not an activities director. On 3/5/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. Staff (S1-S4) denied the allegation that the Staff do not ensure that residents are provided with planned daily activities. All staff (S1-S4) stated that the facility does have daily activities for the residents to participate in, in the absence of a current activities’ director. S1 stated the facility is in the process of hiring a new activities director, and have two candidates in mind, and they are awaiting a final decision from the in-coming executive director.