Complaint Investigation Report

Regarding the allegation: Facility staff did not safeguard residents' personal belongings.

It was alleged that during a room rearrangement, personal belongings for clients were misplaced or thrown away. Specifically, for C1, it was alleged that C1’s personal items went missing. Client interviews confirmed claims that staff assisted clients with cleaning and rearranging their rooms, but most clients denied claims that items went missing. Staff interviews revealed inconsistent information as to whether some of C1’s items went missing. Staff claimed that some clients agreed to donating some items and throwing away others, yet there was insufficient evidence to support that items for C1 were missing. Staff stated that C1 would oftentimes throw things away. An interview with R1’s responsible party revealed that if items of C1 had gone missing, they were retrieved or replaced. It was communicated that there were no immediate concerns regarding C1’s personal belongings. Based on the information obtained during the course of the investigation, there is insufficient evidence to support the claim that staff did not safeguard residents' personal belongings. This allegation is deemed Unsubstantiated at this time.

Regarding the allegation: Facility staff did not treat residents with dignity and respect.

It was alleged that staff failed to treat clients with dignity and respect, as the client’s rooms were re-arranged, and items were thrown out without their consent. Client interviews revealed that in general, clients were aware that their rooms were going to be rearranged and organized for their benefit. Clients corroborated claims that they agreed to either throw away or donate items and that it was done with their consent. In general, clients felt that the staff treated them with dignity and respect. For clients whom expressed concern regarding their interactions with staff, the LPA observed that the licensee had submitted Special Incident Reports (SIRs) to document the above-mentioned interactions and/or incidents. Whereas another client commented on how they wanted the color of their room painted, they did not indicate that staff failed to treat them with dignity or respect. Based on the information obtained, there is insufficient evidence to support the claim that staff did not treat residents with dignity and respect. This allegation is deemed Unsubstantiated at this time.

Regarding the allegation: Facility is in financial distress

It was alleged that staff did not have access to the petty cash and instead had to be reimbursed for purchases. Interviews revealed that upon the arrival of the current Administrator in October 2021, the Administrator decided to limit the amount of persons that had access to the petty cash for security purposes.