Complaint Investigation Report

Staff did not safe guard resident's personal belongings- An interview with the Executive Director (ED) revealed R1 reported an "old black phone" and a necklace with a ring on it were missing. The ED conducted interviews of 11 staff on the missing items. Staff confirmed observing a black phone in R1's apartment. All staff interviewed stated that they never observed a chain with a ring on it. The ED reported that the black phone was recovered inside of R1's apartment. The LPA was not able to corroborate this allegation, therefore this allegation is unsubstantiated.

Facility fed resident uncooked food- A family interview reported R1 being fed a "hard baked potatoe". During an interview, the ED denied serving R1 uncooked food. The LPA was not able to corroborate this allegation, therefore this allegation is unsubstantiated.

Facility was in disrepair- It was reported that there was a shower curtain placed between residents and visitors. During an interview, the ED stated that during the COVID-19 epidemic, it was mandatory that visitors and residents had limited direct contact during visitation at the facility. The facility was following the guidelines per Center for Disease Control (CDC) and Community Care Licensing (CCL). The LPA was not able to corroborate this allegation, therefore this allegation is unsubstantiated.

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 allegations are unsubstantiated at this time. An exit interview was conducted where the 9099, 9099C and LIC 811 were provided to Ruth Fromme.