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32 | The investigation revealed the following: 7 out of the 7 denied the allegation to be true. S1 states, “we try to please everyone, but we have to make safety a priority first. To create an enriched environment during an outbreak can be challenging. S3 states, “I think my boss is a very well-spoken person. I think he is very assertive in what needs to get done and I don’t have any complaints about him. He’s very easy to speak to actually.” S5 states, “I don’t see him doing anything out of context. He speaks to everyone. He is polite. He is doing the best he can, given the situation and in general. S6 states, I like working with S1. S7 states “S1 is very direct. Sometimes people don’t like what is being said to them, but I feel like he tries his best and has gotten us through a lot.” During interviews with the residents the following was determined: 5 out of 5 denied the allegation to be true. R1 states, “he is excellent, I have been here 11 years. He has always been nice to me. Empathetic, kind and professional. This actually came in as a complaint? R3 states, “Oh that is 100% false. I’ve been here 12 years and he’s doing a superior job. R5 states, “That’s absolutely false. He’s doing a great job. He is very supportive and responsive with any issues brought to him.
LPA Agard was able to review the following records: LPA reviewed a donning and doffing in-service training, FIT testing results, a report from the department of public health with no recommendations of concern. During tour, LPA observed several stations with personal protective equipment (PPE). In a review of the facility’s mitigation plan, the facility plans to control infection by providing staff with training, physical distancing, routine cleaning of common areas, isolation rooms with dedicated staff that will work solely with infected residents. The staff will be provided with PPE.
Based on LPA’s observation, interviews conducted, record review, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations is unsubstantiated.
An exit interview was conducted, and a copy of the report was given. |