Complaint Investigation Report

Allegation #3: Facility is not adequately staffed.

It is alleged the facility is operating with inadequate As a result of the complaint, the complainant was concerned that the facility operates with a minimum number of staff.

On 12/12/23 between 3:03 pm – 5:59 pm, the Department interviewed (2) out of (2) staff #1-#2 (S1-S2) revealing there are two caregivers for supervision to five residents during shift 7:00 am through 7:00 pm. (S1-S2) stated an “awake” staff in place to work overtime when any residents post restlessness behavior or incontinent assistance. Service records revealed residents #1 and #2 (R1-R2) are diagnosed with dementia.

On 12/22/23 between 8:30 am - 9:24 am the Department reviewed resident #6 (R6) who was admitted on 12/16/23 and requires continuous bed care, bowel & bladder Impairment, and unable to evacuate according to (R6's) Physician's Report (date 12/14/23). (R1) diagnosed with dementia requires observation/night supervision and is not able to self-evacuate, needs assistance with toileting, and a fall risk according to (R1's) Pre-placement Appraisal Information LIC 603 (date: 07/20/23) Appraisal/Needs Services Plan (date: 07/28/23), and Physician's Report LIC 602 (date: 07/13/23). (R3 and R5) both are hospice residents. (R3) is bowel & bladder Impairment, who cannot self-evacuate, and requires observation/night supervision according to (R3's) Physician's Report (date: 07/30/23) and Resident Appraisal LIC 603 A (date: 07/30/23). (R5) is bed bound, has seizures, a falls risk, requires maximum (ADL) assistance, and is unable to self reposition according to (R5’s) Physician’s Report (date: 01/19/22). Based on the gathered information, there is sufficient evidence to support the allegation mentioned above. The facility requires a permanent night staff for care and supervision for (4) out of (6) residents.

Allegation #4: and Facility failed to maintain complete accurate resident records.

The details of the complaint alleged that the facility failed to maintain complete and accurate resident records. The complainant was concerned the facility was not operating within Title 22 requirements.