Complaint Investigation Report

Regarding the allegation that Staff spoke inappropriately to resident, it was alleged that S1 threatened Resident #1 (R1). LPA's interview with four (4) staff today revealed that R1's first language was not English and could be misconstrued as aggressive but that was S1's normal voice. Four (4) out of four (4) staff interviewed stated that they did not witness R1 threatening or spoke inappropriately to any resident. LPA's interview with seven (7) residents or more than 10% of current census revealed that seven (7) out of seven (7) residents did not experience or witness R1 threatening any resident.

Regarding the allegation that Staff do not ensure that residents are hydrated, it was alleged that Resident #1 (R1) was screaming and needed water. LPA's record review revealed that R1 was admitted at the facility on 04/10/24 and passed away on 05/24/24. LPA's interview with four (4) staff today revealed that they always make sure that all residents have access to and provide drinking water to all residents. LPA's interview with seven (7) residents today or more than 10% of the current census revealed that seven (7) out of seven (7) residents stated that they do not have issues with drinking water and were provided by the staff all the time.

Regarding the allegation that Staff did not ensure that residents' incontinence needs were met, it was alleged that R1 was screaming due to being soaked wet for a long period of time. LPA attempted to interview the staff that may have witnessed the incident but the staff no longer works here. LPA's interview with five (5) incontinent residents today between 11:30 AM to 1:30 PM revealed that five (5) out of five (5) residents were being changed regularly three (3) to four (4) times a day.

Based on the information gathered during this visit and prior visit, these allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.