Complaint Investigation Report

On 02/01/2022, LPA Walker conduct a subsequent complaint inspection for the above allegations. During the visit, the LPA conducted a physical plant tour with the administrator at 10:23 a.m., to ensure there were no health and safety hazards. From 10:50 a.m. until 12:40 p.m., the LPA conducted an interview with the administrator and obtained copies of documents pertinent to the investigation. From 12:45 p.m. until 1:13 p.m., the LPA conducted interviews with one (1) facility staff. The LPA determined further investigation was needed at that time.

During today’s visit, the LPA conducted a physical plant tour with the administrator Evelina Papazyan at 10:06 a.m., to ensure there are no health and safety hazards.

Regarding the allegation, ‘Staff did not seek timely medical care for resident,’ the complainant’s concern is that Resident #1 (R1) advised facility staff of being in excruciating pain at 2:30 a.m., and the staff did not call an ambulance until 7:30 a.m. to transport the resident to the hospital.

To conduct the investigation, LPA Walker previously conducted interviews with the administrator, facility staff, and a record review. The interview with the administrator revealed that facility staff contacted the administrator to advise that R1 requested to be transported to the hospital at “around 3:00 a.m.” The administrator stated that the staff called the ambulance, and noted the wait time would be 3 hours. The interview with the administrator also revealed that staff advised R1 of the wait time, and asked if R1 wanted staff to call 9-1-1 instead. According to the administrator, R1 refused due to 9-1-1 not transporting them to the hospital of choice on different occasions. To the administrator’s knowledge, the paramedics arrived between 6:45 a.m. and 7:00 a.m.

Interviews with staff revealed that R1 requested transportation to the hospital around 3:00 a.m., and staff called the paramedics. According to staff, the paramedics advised the wait time would be three (3) hours or more upon the initial call placed. According to staff, R1 was made aware of the wait time, but R1 wanted to wait to ensure they went to their preferred hospital. Interviews with staff also revealed that, they notified the administrator of incident due to concerns on “long wait time,” and was advised that resident’s personal rights allow R1 to deny services; and the facility needs to accommodate R1’s request.