Complaint Investigation Report

Facility staff do not meet training requirements and Facility staff do not follow the resident’s needs and services plan

On 05/06/2024, it was alleged that the new facility staff are not trained on resident (R1)’s needs and services plan therefore are not following the resident’s needs and services plan.

4 staff members were interviewed. Based on interview, the new staff members provided care to R1. It was also stated that the new staff provided 1:1 care to R1.

Based on interview, facility staff contacted the facility’s nurse consultant to provide the new staff members training on R1’s restricted health condition care plan, however, the nurse consultant was unable to provide training at the time due to medical reasons. The Administrator did not contact another nurse consultant to provide training for the new staff on R1’s restricted health condition care plan prior to providing care to R1.

During the course of this investigation, staff training records were obtained. Based on record review, the new staff that were hired are not provided training on R1’s restricted health condition care plan resulting in the staff not following R1's needs and services plan. The review of records shows the last training on R1’s restricted health condition care plan was last completed on 01/12/2022, which does not include the new staff hired in the beginning of 2024.

Facility did not report a resident’s missed medication

On 05/06/2024, it was alleged that the facility did not properly report a resident (R1)’s missed medication to R1’s responsible party.