Complaint Investigation Report

Resident was unable to provide LPA the contact information for PT and LPA was unable to interview. LPA interviewed a staff member from the maintenance team in which they stated there was a very small bubble in the flooring of the bathroom. Staff stated they don’t believe it was a tripping hazard but they did replace the whole bathroom floor. LPA observed a receipt from an outside agency for 10/4/23, in which company replaced the entire bathroom floor. LPA reviewed the work orders from maintenance, in which it shows the staff became aware of the flooring issue on 09/21/23. LPA interviewed the Health Services Director in which she stated she was unaware of any fall or trip hazard in resident room. LPA finds the allegation to be UNSUBSTANTIATED.

LPA investigated allegation, “Staff attempted to administer a medication that fell on the floor to a resident in care.” LPA interviewed resident in which they stated a medication technician (med tech) was dispensing their medications in the dining room. Med tech dropped resident pill on the ground and then proceeded to wipe off the pill and offer resident their medication. Resident was unable to provide LPA the name of the med tech. LPA interviewed health services director and she stated staff informed her that one time med tech handed resident their medications and resident dropped it on the floor and then resident picked it up off the ground and resident took it. Due to conflicting information LPA finds the allegation to be UNSUBSTANTIATED.

LPA investigated allegation, “Staff did not keep facility free of mold.” LPA interviewed resident in which they stated that there was mold in their shower. Resident informed the maintenance team and they confirmed the mold and removed it. LPA interviewed maintenance staff in which he stated he did observe mold in resident room, but he did observe dirt in the shower divider. Staff stated they cleaned the area and replaced the shower divider. LPA toured the facility and did not observe mold in the facility. Due to the conflicting information, LPA finds allegation to be UNSUBSTANTIATED.