Complaint Investigation Report

During the initial visit made on 07/27/22, LPA conducted a random inspection of one (1) pendant and three (3) emergency pull cords in the bathrooms, at Assisted Living (AL) Unit, and staff responded within a reasonable time. The facility’s expectation for response time is 10 minutes. However, a random inspection of one (1) resident’s pendant and four (4) emergency pull cords, in the bathroom, at the Memory Care Unit (Traditions 1 and Traditions 2) discovered that none of the five (5) emergency call buttons were operational. Interview with the Executive Director confirmed that the facility was aware of residents pull cords being in disrepair (in Memory Care Unit) as of July 5 th , 2022 and that the facility’s Maintenance Director placed an order for new batteries as of 07/21/22. Based on LPA's observation and review of the information received, allegations Residents pull cords are in disrepair AND Staff do not respond to residents call buttons timely , are substantiated at this time.

Exit interview conducted appeal rights explained and copy of this report provided to the Executive Director.