Complaint Investigation Report

LPA interviewed staff and residents and none admitted they dropped or were dropped while being assisted. LPA reviewed resident call logs from the pendant alarm system used at the facility. LPA reviewed logs from September through November 2021. Calls for assistance ranged, on average, from 10 seconds to 8 minutes. LPA reviewed incident reports regarding incidents that occurred in the facility where emergency personnel were contacted. The time duration from staff arriving to the resident to assess the situation and then contacting emergency personnel was reasonable, in the records reviewed. LPA reviewed resident records and interviewed staff regarding the administration of medication. With the exception of previously addressed medication errors, medications are administered as ordered by physician. Facility conducted retraining for medication technicians as a plan of correction for a previous incident. LPA observed 2 electronic tablets at the entrance of the facility where staff and visitors complete a COVID-19 health screening. There are signs alerting incoming people to complete the survey upon entry and staff have all been trained to complete the screening before their shift. The system will alert several positions in management if a person fails the screening. LPA toured the kitchen and food storage areas. LPA observed the staff working in the kitchen were wearing the appropriate PPE and the counters and food prep areas were clean. Food storage areas were clean and orderly and food was stored properly to prevent contamination or spoilage.

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.