Complaint Investigation Report

R1 said they received sufficient and timely assistance from staff without the call button. Interview with the administrator at 3:45 p.m. on 04/29/26 revealed R1 broke their call button. R1 also overused their call button at night which disturbed other residents. The administrator instructed staff to respond to R1’s verbal calls for assistance. Interviews with Staff #1 (S1) at 2:30 p.m. and Staff #2 (S2) at 2:45 p.m. on 04/29/26 revealed staff always responded to R1’s requests for assistance within two (02) minutes. LPA tested R1’s call button at approximately 10:30 a.m. on 05/07/26 and confirmed it did not work. R1 requested staff assistance verbally at approximately 10:31 a.m. on 05/07/26, and staff responded within thirty (30) seconds. LPA tested other resident call buttons during the facility tour at 9:15 a.m. on 05/07/26 which revealed four (04) out of five (05) call buttons were operational. Interviews with four (04) out of five (05) residents revealed their call button were operational. Based on observations and interviews, staff did not ensure R1’s call button worked properly. However, staff provided timely assistance to R1. Therefore, the allegation is SUBSTANTIATED, but no deficiency is issued due to proper care and supervision provided.

No immediate health or safety concerns observed during today’s visit.

Exit interview conducted. Copy of report provided.