Complaint Investigation Report

Regarding allegation #2, LPA conducted interviews with five (5) residents, three (3) residents have stated medical attention is given timely, one (1) did not know and the other could not answer the question.

LPA conducted interviews with three (3) staff all whom state medical attention is absolutely given to residents in a timely manner. LPA also conducted an interview with Executive Director stating that Resident 1 (R1) had just fallen out of their bed, 10 mins later R1 had fallen again. Medication Technicians were assessing R1 before calling 911, while R1 was being assessed Ombudsman walked in. Ombudsman then interrupted staff from attending to R1 and accused them of not assisting R1. 911 was called and Ombudsman continued to intervene while EMT attended to R1.

Regarding allegation #3, Interviews with five (5) residents, three (3) residents have stated staff ensure hazards are inaccessible. Two (2) residents could not answer the question

LPA also conducted interviews with four(4) staff. All whom state they ensure hazards are inaccessible, one (1) stated that the residents have placed furniture in front of doors; staff constantly place them back where they belong. Another stating the maintenance director does daily walk through's ensuring there are no hazards or passageways being disrupted.

Regarding allegation #4, LPA conducted interviews with five (5) residents, one (1) resident states their call button works, three (3) residents have stated they don’t know if their call button works because they have not used it. one (1) resident could not answer the question. LPA tested a call light button in room #201 taking staff two (2) minutes to respond.

LPA conducted interviews with three (3) staff, all whom state the call buttons are working properly, with one stating the maintenance director does daily walk throughs ensuring all outlets are in good repair.

Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated . An Unsubstantiated finding means that although the allegation may be valid or could have occurred, there is insufficient evidence to support that the alleged violation did or did not happen.

An exit interview was conducted with Executive Director Cristina Ceballos, and a copy of this report was provided at the conclusion of the visit.