Complaint Investigation Report

Allegation: Facility has insufficient staffing. Complaint alleges that resident requires (2) staff persons present at all times to assist resident. in transferring due to a diagnosis of spinal bifidus

Interviews with (2) individuals who know resident (R1) well indicated they felt staffing levels were adequate for the residents at the facility, there were “always 1-2 staff” present and resident primarily needed assistance with getting to the toilet on a regular basis during the day.

Care plans document that resident is wheelchair bound and needs assistance in being wheeled from point to point but can transfer from chair to bed or bed to chair on her own. Care plans also state that resident needs assistance from staff with ADL’s and handing hygiene supplies to her and assistance with showering.

Staff (S2) who works full time, stated on 44/23, there are usually two staff working at the facility and in March 2023, another staff was hired to assist residents. In addition, the Administrator helps, as well as a part-time staff (S3) and (S1) is on call.

Administrator and S2 stated on 5/19/23 that they are currently both working full-time at the facility with S2 is on-call during the night hours. There are no residents that wander during the night but hospice residents are checked on regularly during the night.

Resident (R1) stated on 5/19/23 that there are usually at least 2 caregivers, Administrator and S2 and she always receives the help she needs when she requests it. LPA observed (2-3) staff present in February and April during prior inspections. LPA observed R1 to be wearing a pendant necklace today.

Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Allegation: Staff failed to treat resident with dignity and respect. Complaint alleges that resident (R1) stated to an outside agency that she is being verbally abused and neglected..