Complaint Investigation Report

Allegation: Staff does not allow residents to possess personal belongings

It was alleged that on 12/14/2024, 12/15/2024 and 12/16/2024, S1 took Memory Care Unit (MCU) residents' wheelchairs and walkers and placed them far away from residents, so that the residents didn't get out of bed. To investigate this allegation, LPAs conducted an interview with a Memory Care Director, four (4) staff and one (1) MedTech and all parties interviewed denied the above allegation. Moreover, LPAs conducted interviews with six (6) residents and one witness. LPAs were informed that all facility staff members provide an excellent care with dignity and respect. In addition, all residents and a witness interviewed expressed no concerns regarding this allegation. Therefore, based on interviews this allegation is deemed Unsubstantiated, at this time.

Allegation: Staff does not ensure that residents' incontinence needs are met

It was alleged that S1 does not change residents' diapers during the shift. To investigate this allegation, LPAs conducted interviews with the Memory Care Director (MCD) and were informed that their current census in a Memory Care Unit (MCU) is thirteen and during the morning (6:00am-2:00pm) and afternoon (2:00pm-10:00pm) shifts the MCU has three (3) staff members and one (1) MedTech and during the night shift (10:00pm-6:00am), the facility has two (2) staff members and one (1) MedTech available. LPAs were also informed that all incontinent residents are being changed at least three (3) times per shift and/or as needed. Four (4) staff members interviewed corroborated with the statement provided by the MCD. In addition, LPAs conducted interviews with three (3) residents and one witness from the Memory Care Unit and three (3) residents from the Assisted Living. All parties interviewed expressed no concerns regarding this allegation. Therefore, based on interviews and LPAs observations, this allegation is deemed Unsubstantiated, at this time.

Allegation: Staff confines residents to bedrooms

It was alleged that the S1 abuses residents during his/her work shift. To investigate this allegation, LPAs conducted an interview with a Memory Care Director (MCD) and were informed that this issue was brought up to her attention about two (2) weeks ago and she conducted her own investigation by interviewing with two (2) night shift staff members and made unannounced visits during the night shift to observe the staff and make sure that the health and safety of the residents are protected. During todays’ visit, LPAs contacted three (3) night shift staff members, who denied the above allegation. Moreover, three (3) residents from the MCU informed LPAs that they really like S1 and the care provided by S1 and expressed no concerns regarding this allegation. Therefore, based on interviews this allegation deemed Unsubstantiated, at this time.