Complaint Investigation Report

On the allegation, “Licensee does not ensure that residents are adequately supervised while in care”; it is the concern of the reporting party (RP) that on 06/17/2025 there was an emergency call made from the facility due to Resident 1 (R1) having some physical problems and Staff at the facility at the time did not handle the incident well, had no knowledge of R1’s medical conditions, what R1’s baseline behavior and health was, and could not answer any questions about R1 overall. Interviews with staff, including those present on 06/17/25, revealed that R1 had only two weeks living at the facility and were still getting to know them and their history however, all staff stated that they are knowledgeable about all the information provided to them regarding R1 including their medical conditions and baseline behavior. LPA reviewed R1's records which was consistent with information provided by the staff. Staff present during the incident also revealed that they answered all questions however, paramedics requested to speak with management and they called the Administrator who was able to provide any additional information requested. It was further revealed that prior to the emergency call R1 had voiced concerns about their physical problems to staff, the staff relayed the information to the facility’s LVN and the LVN had advised that R1 would be having a medical appointment soon. Additionally, staff revealed that they were unaware that R1 had called 911 as R1 told them they were calling a friend but instead called 911 which did surprised them. The Administrator and staff revealed that they are trained in what to do during a medical emergency and each resident has a medical binder with all their information available and ready to be provided when 911 is called. Interviews with staff and residents, including R1, revealed that R1 has been having issues with adjusting to the facility. An interview with another resident revealed that staff adequately supervise them and help them whenever needed. The LPA observed food being delivered on 06/27/25, and the necessary furniture at the facility. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegations is deemed Unsubstantiated at this time.

Exit interview conducted. Today's report was reviewed and provided.