Complaint Investigation Report

Facility observation conducted by LPA revealed no observation of inappropriate staff interaction or handling by staff members. LPA observed redirection by staff members without physical contact. A review of incident report for R1 dated 7-13-22 and associated interviews conducted revealed no witnessing to inappropriate physical handling. Based on interviews and record reviews, there is not a preponderance of evidence to conclude that inappropriate handling of residents occurred at the facility. Therefore this allegation is UNSUBSTANTIATED.

Allegation #2: Staff hits resident in care. Based on interviews conducted and records reviewed, it was indicated that there have been no witnesses to any staff member hitting or slapping residents in care. Furthermore, based on interviews, it was not verbalized by residents that staff hits or slaps them. An observation by LPA revealed a noted bruise on R1’s left shoulder which R1 stated occurred outside the facility by an unidentified individual which has since been separately investigated. LPA also conducted observation of staff interaction with residents and did not observe any hitting, slapping, or other inappropriate physical contact by staff to residents in care. Interviews conducted could not determine the exact cause of the bruise. Based on record review and interviews, it was indicated that R1 has a history of falls and imbalance within facility as well as elopement attempts. Based on interviews, observation, and record review, there is a not a preponderance of evidence to conclude that R1 or other residents were hit by staff while in care, therefore, this allegation is UNSUBSTANTIATED.

Allegation #3: Staff not providing adequate supervision to residents in care. This allegation stated R1 “ran away” on 7-12-22 and “found later that morning” on 7-13-22. Based on staff and resident interviews, and record reviews, it was indicated that on 7-12-22, R1 engaged in an attempted elopement but returned to facility with staff supervision after being followed. LPA also conducted a facility observation on 7-13-22 and observed 2 staff members on duty for 4 residents. LPA further observed appropriate interaction by staff including verbalized redirection, prompts for care needs, and personal needs reminders to residents in care. Additionally, LPA observed resident access to bathrooms and own rooms as well as other common areas within facility. Based on interviews, record reviews, and observation, there is not a preponderance of evidence to conclude that staff was not providing adequate supervision to residents in care on 7-12-22 and 7-13-22. Therefore, this allegation is UNSUBSTANTIATED.

Based on this investigation, no citations are issued. An exit interview was conducted with Carrie Mumphrey and a copy of this report was left with Carrie. Appeal rights provided.