Complaint Investigation Report

Allegation: Staff yelled at resident. It is alleged that staff (S1)/supervisor has been overheard yelling and speaking to resident (R1) in a strong tone of voice when the resident is talking on the phone. Staff and resident interviews were conducted, of which all denied the allegation. Staff (S1) stated that they do not yell at resident (R1) or other residents, but sometimes they speak to the residents in a firm voice when they are not listening. All staff acknowledged that staff (S1) has a natural louder tone of voice. Resident (R1) stated that staff (S1) speaks loudly to the resident and all other residents as well, but staff (S1) does not yell. Administrator stated that staff speak with an accent, but do not yell at residents, and none of the residents have ever complained. Family (F1) stated that one time they were talking on the phone with R1, and they overheard a staff member address the resident in a verbally aggressive tone. Based on interviews conducted, there is insufficient evidence to support the allegation.

Allegation: Staff withheld food from resident. It is alleged that on May 27, 2024, staff did not give resident (R1) breakfast because the resident woke up late. According to information obtained via staff and resident interviews, the findings indicate that on May 27, 2024, resident (R1) got up at 6:30 AM, took their AM medications, ate breakfast and 30 minutes later the resident took a nap. When it was lunch time staff tried waking the resident up at 12 PM for lunch meal, but the resident was sleepy and continued napping. Based on record review, resident (R1) is on a low carbohydrate and low sweets diet that staff follow. The resident is served healthier foods. Resident (R1) stated that on May 27, 2024, staff did not give the resident lunch because the resident was sleeping. R1 stated staff feed everyone well and they are allowed to get food at other times. The resident confirmed they are following a physician ordered healthy diet and have lost weight as a result. All 4 staff, all 4 residents, and family denied the allegation.

Allegation: Staff did not treat resident with dignity and respect. According to information obtained, resident (R1) is not treated well by most staff, with the exception of one (1) staff. All four (4) staff interviewed denied the allegation, and stated that resident (R1) and all other residents are always treated in a respectful manner and are afforded privacy. Four (4) residents were interviewed, of which all, including resident (R1) stated that staff treat all residents in a dignified and respectful manner. Resident (R1's) family was interviewed, and they stated they have never seen staff treat residents in a disrespectful manner.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated .

Exit interview conducted with staff Divina Sanchez. A copy of the report was issued.