Complaint Investigation Report

Staff prevent resident from leaving the facility.

On the allegation of ‘Staff prevent resident from leaving the facility’; the complainant’s concern is that the R1 is not allowed to leave the facility. To investigate this allegation LPA Urena conducted interviews, and observation of the memory care unit. The administrator stated that R1 resides in the memory care unit, consequently R1 is limited to the supervised area of the unit throughout the day, with the exception when residents are taken to the general common areas of the facility for activities . The LPA interviewed R1’s POA, who stated that they understand the limitations of R1, and not able to leave the facility unsupervised. The POA feels comfortable that R1 is allowed to go in and out of their bedroom unsupervised within the memory care unit, as R1 is still very independent in mobility. The POA was informed by staff and has witnessed that memory care unit residents are taken on supervised walks to the facility’s courtyard. The staff interviews revealed that residents are taken on supervised walks beyond the memory care unit. The walks are usually around 10:00 a.m. to 10:30 a.m. The LPA interviewed R1 about the allegation, and R1 stated that they go out to the courtyard, dining room and social room. On the day of the interview, the LPA observed R1 independently leaving their room, and going to the common area of the memory care unit. Per the administrator, R1’s family members have taken in the past R1 for overnight stays at their house, and family members are never prevented from taking residents leaving the facility.

Based on the information gathered through interviews and observation, there is not sufficient evidence to support the allegation that staff prevent resident from leaving the facility. Therefore, this allegation is deemed Unsubstantiated at this time.

On the allegation ‘Resident is isolated in room’, the complainant’s concern is that R1 is not taken out of the room for walks. To investigate this allegation LPA Urena interviewed R1, R1’s POA , staff and Administrator. The POA stated that R1 is taken on supervised walks to the courtyard, and the common areas of the facility. The Administrator stated that staff take residents on supervised walks to the courtyard, at about 10:00 a.m. to participate in daily exercises.