Complaint Investigation Report

It was also alleged that it’s difficult for staff to respond to residents call buttons in a timely manner due to the low number of staff who work the night shift. It was stated that instead of the response times being between 5-10 minutes, it has increased to 20-30 minutes

On 05/29/2024, 3 residents were interviewed. Based on resident interview, 2 out of 3 residents states that the facility does not have enough night supervision. It was stated that there is only 2-night shift staff for the whole building.

4 staff members were interviewed throughout this investigation. Based on staff interview, 2 staff states there is not enough night supervision staff. 2 staff states there is only two staff who work the NOC shift. It was stated that there were some days where only one staff would work the NOC shift. S3 stated that there was a time before S3 was hired when there was only 1 NOC shift staff working in Prom and Plaza.

Based on record review, the NOC staffing schedule in May 2024, it shows only 1 caregiver scheduled in the Prom/Plaza (Assisted Living) section of the facility on Sunday and Mondays. Based on staff interview, the standard NOC staffing schedule should be 2 staff in the prom and plaza area.

Based on resident interview, 2 out of 3 residents states a negative experience with the facility’s pendant system. R1 states a time where he/she was sitting on the floor for about 45 minutes before a staff responded to his/her pendant call. R2 states that no one comes for about 45 minutes. R2 states in the morning, it takes about half an hour to an hour for staff to respond.

Based on review of R1’s pendant call logs, it shows that in May 2024 there were 88 calls that had a response time of 10 minutes and more. 33 out of 88 calls had over a 30-minute response time. 26 out of 88 calls had over a 15-minute response time between the hours of 10:00PM – 6:00AM. Page 2 of 3.