Complaint Investigation Report

LPA conducted an interview with R1 who stated that it took about 30 minutes for two (2) staff members to come in and assist R1 back on their bed. R1 stated it was about 2:00 AM on an unknown date in 2025. R1 stated it was the only time when staff response time was delayed. R1 thought that was due to the incident took place at such early time of the day and the job required two (2) staff members. R1 could not remember any other incidents when staff response time was delayed. LPA's attempted interviews with additional two (2) residents were unsuccessful due to their cognitive condition. LPA conducted interviews with five (5) staff members, all of whom stated that they have not heard any complaints from residents regarding call button response time. Staff members interviewed stated that all caregivers carry radios or phone and respond to residents immediately. The facility's office has a central monitor that can display which calls were not responded. Staff's response time can vary depending on what they are working on or time of the day.

Based on interviews conducted, the Department's investigation did not provide enough information to corroborate the allegation that staff do not respond to call alert system in a timely manner. LPA determined that R1's experience of delayed staff response time was an isolated incident, not an on-going problem at the facility. This allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where a copy of this report was provided.