Complaint Investigation Report

It was alleged staff are restraining residents. According to the information received, staff are placing weighted vests on residents to keep them immobile. LPA toured and thoroughly searched interior and exterior of the facility but was unable to locate any weighted vest or anything like it. LPA did not observe anything used to physically restrain residents. LPA conducted interviews with five (5) residents, but LPA determined that two (2) out of five (5) residents were unable to be interviewed due to their cognitive condition per attempted interviews. Interviews with the remaining three (3) residents revealed that they have never seen weighted vests or experienced any form of restraint by staff . LPA conducted interviews with three (3) out of five (5) residents’ responsible persons, all of whom denied seeing residents wearing weighted vests or any form of restraint. Other two (2) residents’ responsible persons were unavailable for an interview. LPA conducted interviews with four (4) staff members, all of whom denied ever using any form of restraint or weighted vests on residents. Based on interviews conducted and observations, there is insufficient evidence to support the allegation that staff are restraining residents. This allegation is unsubstantiated .

It was alleged staff are providing THC drinks/protein powder to residents without a physician’s order. According to the information received, staff are serving THC (Tetrahydrocannabinol) drinks to keep residents sedated and are giving protein drinks without doctor’s order. LPA conducted a tour of interior and exterior of the facility but did not observe any THC drinks or protein drinks. LPA observed nutritional supplements in both liquid and powder forms in the facility kitchen pantry. LPA’s record review revealed that three (3) out of five (5) residents had doctors’ orders for nutritional supplements. LPA conducted interviews with five (5) residents, but none of them knew if they consume nutritional supplements. LPA conducted interviews with three (3) out of five (5) residents’ responsible persons, none of whom knew if the residents consumed THC drinks or nutritional supplements. Other two (2) residents’ responsible persons were unavailable for an interview. LPA conducted interviews with four (4) staff members, all of whom denied serving THC and protein drinks to residents without doctors’ orders. Based on interviews conducted and observations, there is insufficient evidence to support the allegation that staff are providing THC drinks/protein powder to residents without a physician’s order. This allegation is unsubstantiated .

It was alleged residents are charged for services not rendered. LPA conducted interviews with three (3) out of five (5) residents’ responsible persons, all of whom denied being charged for services or goods not provided.