Complaint Investigation Report

The facility had high turn over and was not staffed with a lead/supervisor or Administrator several times throughout 2024. The Administrator on record did check in at the facility but did not have set schedule to spend time at the facility on a regular bases. The Administrators are assigned to homes to meet the administrator requirement but do not work at some of the homes regularly to oversee the business operation. The lead/Supervisor position is the staff that is scheduled at the home regularly but during the 2024 year this position had high turnover and staff was not in this home regularly to oversee the staff, residents, and business operation. Due to not having Administrator or lead/supervisor the facility was not getting the job duties of these position done creating staff to have to notify them of residents needs and not getting timely attention of those residents needs. The medical records and paperwork were not getting completed which led to staff not having important paperwork and records when needed. Based on the evidence this allegation is Substantiated at this time.

On the allegation: Staff do not ensure residents are taken to medical and dental appointments. LPA interviewed staff and reviewed resident’s records which revealed staff did notify leads/supervisors/administrator of the need for medical and dental appointments for residents in care. Due to high turned over and not having the staff available to arrange these appointments timely so appointments did not get made timely, some appointments were made but several months out which did not address the needs of the residents timely and some appointments had to be rescheduled. The staff did not follow up on medical and dental issues in a timely matter for some of the residents in care. Based on the evidence this allegation is Substantiated at this time.

Exit interview conducted, deficiencies cited, copy of report and appeal rights printed for Supervisor.