Complaint Investigation Report

Additionally, LPA Gonzalez inspected the Medication Room, and conducted interviews with staff #2-#5 (S2-S5), and residents #1-#6 (R1-R6). On 02/27/25, LPA Gonzalez conducted telephonic interviews with residents #7-9 (R7-R9). On 03/03/25 LPA received Medication Administration Records (MARs) dated: October 2024 – December 2024 for R10-R11.

The investigation revealed the following:

Allegation: Staff do not respond to resident's call for assistance in a timely manner. It is being alleged that residents are not attended to in a timely manner.

On 10/09/24 between 10:45 AM – 11:30 AM LPA Gonzalez conducted interviews with A1 and S1, and on 02/20/25 between 09:30 AM – 11:30 AM LPA Gonzalez conducted interviews with S2-S5. Based on interviews conducted, 5 out of 6 staff interviewed denied the allegation. 6 out of 6 staff interviewed confirmed residents have a callbox located in their rooms. They use the call button to alert staff, that call will go to a central monitoring station that is in the reception area. The receptionist will then answer the call, and radio a care staff to respond to the resident requesting assistance. 5 out of 6 staff interviewed stated that they are responding to residents’ call button alerts in a timely manner.

On 02/20/25 between 12:30 PM – 2:30 PM LPA Gonzalez conducted interviews with R1-R6 and on 02/27/25 between 02:05 PM – 02:45 PM LPA Gonzalez conducted interviews with R7-R9. Based on interviews conducted, 6 out of 9 residents interviewed stated that staff responds to their calls for assistance in a timely manner. 9 out of 9 residents interviewed stated that they are satisfied with the staff at this facility and the services provided to them.

Based on interviews conducted, the department did not find sufficient evidence to support the allegation. 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.