Complaint Investigation Report

Facility staff left residents without supervision.

On 06/14/2023, the Department interviewed 3 residents. 3 out of 3 residents stated there are no issues or concerns for the facility.

On 01/19/2024, the Department interviewed 3 residents. 3 out of 3 residents stated the facility never left residents unattended, and the facility always has staff in the facility. The Department interviewed 2 staff (S2, S3). 2 out of 2 stated the facility always has staff in the facility, and never left residents unattended. S2 stated he/she never saw or heard any resident eloped from the facility. The Department interviewed Administrator (ADM). ADM denied there was any resident eloped from the facility. ADM stated the facility has staff 24 hours a day. ADM stated staff sometimes took residents to backyard for fresh air, but never left residents unattended.

The Department did not received any incident report or cross report that the facility resident eloped from the facility. Based on the interviews, the facility never left residents unattended, and there was no resident eloped from the facility. Facility resident were never left without supervision.

Facility did not have awake night staff for hospice residents:

On 1/19/2024, the Department interviewed 3 residents. 1 out of 3 residents stated the facility has staff 24 hours a day. 1 out of 3 residents stated that the staff helped him/her to go to restroom at night. The Department interviewed ADM and 2 staff. 3 out of 3 staff confirmed the facility has an awake staff at night shift.

Reviewing the facility staff schedule. the facility always has a staff on duty at night shift.

Based on the interviews with residents and staff, and documents, the facility has an awake staff at night shift.