Complaint Investigation Report

This LPA was told Memory Care was staffed with the following: the AM shift had 3 care staff and 1 med tech plus the Memory Care Coordinator (MCC). The PM shift was staffed with 2 care staff plus 1 floater and a med tech. The NOC shift was staffed by 1 care staff and a med tech.

As part of this investigation, this LPA interviewed 9 staff members. 2 of the 9 confirmed that staff were not consistently transferring residents properly. This LPA learned that care staff were using the Hoyer lift by themselves (1 person instead of a 2 person assist). Operation of a Hoyer lift requires 2 people.

The standard for the preponderance of evidence has been met and the department finds the allegation, "Staff are transferring resident(s) in an unsafe manner." to be substantiated. This deficiency was cited on the LIC 9099D page.

No other deficiencies were observed or cited during today's visit. A copy of this report was provided along with Appeal Rights.