Complaint Investigation Report

*** This report supersedes the report dated 04/03/26. The superseded report was created to deliver a clarification of the allegations. The findings remain unchanged. ***

In regards of facility staff does not ensure contact information on filing a complaint is posted in the facility, it is alleged that the administrator will not provide R1 with the corporate office contact number or fax number to assist R1 in filing a complaint with the corporate office. P er resident interviews, one (1) out of ten (10) residents interviewed stated that the corporate office contact information for filing complaints is not provided. Nine (9) out of ten (10) residents could not corroborate with the allegation. It revealed that residents had resident meetings regarding any issues and those issues could be sent to the facility management and corporate office directly. In addition, Adult Protective Services (APS) poster with its contact information for filing complaints was posted on the wall at the lobby entrance if residents wanted to file complaints. Per staff interviews, seven (7) out of seven (7) staff interviewed could not corroborate with the allegation. Administrator would provide the corporate office’s contact information to residents when residents request it. Besides filing complaints to corporate office, Ombudsman’s and Licensing’s contact information for filing complaints were posted at the entrance and accessible to residents. Per observation, posters with contact information for filing complaints were displayed at the lobby entrance. Each poster was in size of 2.5ft (H) x 1.5ft (W) which residents could easily see them. Therefore, the contact information on filing complaints was accessible to residents.

In regards of facility staff do not ensure residents care plan is being followed, it is alleged that R1’s care plan indicates staff are supposed to check on R1 every two (2) hours; however, staff neglect R1’s care and do not check on R1 every two (2) hours to ensure R1 is okay . Per resident interviews, one (1) out of ten (10) residents interviewed stated the staff did not follow resident’s care plan to check on resident every two (2) hours when providing care to the resident. Nine (9) out of ten (10) residents could not corroborate with the allegation. It revealed that residents receive care as stated on their care plan and as needed. Per staff interviews, seven (7) out of seven (7) staff interviewed could not corroborate with the allegation. (- continues on LIC 9099C -)