Complaint Investigation Report

Staff members are not allowed to take photos or videos while working and all residents have photo consents included in their Residency agreements.

It was alleged that Staff engaged in inappropriate interactions with resident in care. It was reported that a former employee was texting inappropriate photos to a resident. LPA interviewed six of six residents who all denied this allegation. Two of six residents indicated they like to take photos with staff members and did not know there was a policy where staff were not allowed to take photos or videos while working. Six of six residents denied receiving inappropriate content on their cell phones. Thus this allegation is Unsubstantiated.

It was alleged that Staff mismanaged resident's medication. LPA reviewed R1's October and November electronic Medication Administration Records (MAR) but no discrepancies were found on the eMAR. R1's medications are in bottles. Two of six staff members stated medications are occasionally mismanaged by staff, such as when medication needs to be refilled or that staff do not watch if residents take the medications. Four of six staff members denied this allegation. Thus this allegation is Unsubstantiated.

It was also alleged that, Staff accessed resident's cellphone without proper authorization. LPA asked six of six residents if staff members access their cell phones without resident's permission. Six of six residents denied this allegation. LPA interviewed six of six staff members if they accessed residents' cell phones without their permission. Six of six staff members denied this allegation. LPA interviewed five of five witnesses if Staff accessed resident's cellphone without proper authorization. Two of five witnesses confirmed this allegation; stating staff members obtain a resident's cell phone to delete content without permission. Three of five witnesses could not confirm or deny this allegation.

Lastly, it was alleged that Staff did not report resident incidents to appropriate parties, Two of five witnesses were not informed or included in meetings with Resident #1(R1) regarding mental evaluations or medications. LPA reviewed email communications between witnesses and facility. Mismanaged medications for R1 were not reported to licensing. LPA reviewed eMAR reports and did not find any discrepancies in documentation, thus it was not reported to licensing. . Staff members interviewed understood they were mandated reporters for resident incidents, including medication errors but did not feel R1's medications were