Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation, Staff pushed resident, it is alleged that staff told a resident to “shut up” and pushed the resident while walking past them in a common area hallway. Interviews were conducted with residents and staff. Nine out of ten residents denied the allegation, stating Staff #1 (S1) is always nice, courteous, and professional. A resident who has lived at the facility for almost two years and stated, S1 “would never do anything like that. He’s too much of a gentleman.” Six out of six staff interviewed denied the allegation, stating they have never witnessed S1 yelling, pushing, or being inappropriate with residents in any way. There were no witnesses present during the alleged incident.

Regarding the allegation, Staff does not ensure that resident receives meals , it is alleged that staff do not bring meals to a resident when they are unable to walk to the dining room/hall and the resident cannot access food. Based on the interviews conducted, nine out of ten residents and six out of six staff denied the allegation, stating that residents are served meals three times a day, staff checks on residents when they are not present in the dining room, and meals are delivered upon request or automatically when residents are sick. One resident stated that meal trays are always delivered to them when they are not present in the dining room and staff never forget to give them food. Six out of six staff stated Meal Roll Call forms are completed by staff during each meal, to record which residents are present and absent from the dining room, there is a fee of $10 charged to residents’ room for each meal tray delivered and that charge is applied to their monthly billing statement, however residents who are sick are not charged for meal tray service. A review of the Residence & Care Agreement dated December 31, 2020 indicates there is a charge of $5 per meal for Meal Tray Delivery Services.

Therefore, based on the observations made, interviews which were conducted, and the records that were reviewed, 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 following allegations: Staff pushed resident and Staff does not ensure that resident receives meals, are deemed UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Melanie Washington, and a copy of this report was provided at exit.