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32 | Regarding the allegation: Staff did not provide proper notice of moving to resident. It is being alleged that resident #1 (R1) received a letter letting them know that they would need to move and it did not include any information regarding who would be moving them, where they would be moving to, or which room they would be placed in. LPA received a copy of R1’s letter stating that they would need to move to the main building dated 04/06/26 because of their current mobility needs and their history of being a fall risk signed by the administrator. During LPA’s interview with R1, R1 admitted that they received a notice with the previous administrator dated April 05, 2022 where it stated, "due to physical health decline, fall risk and poor balance while walking R1 had to be moved to the main building." R1 stated, "I refused to move then." LPA received a copy of the 2022 notice. Additionally, R1 admitted that they were shown a private room in January of 2026 but they did like it because it did not have a shower and they would have to share a shower with others. Let it be noted, R1 is currently living in one (1) of the outside cottages that is for ambulatory residents whom do not require help, and that cottage has a shared bathroom including a shared shower. LPA received the documentation from staff that state, "R1 was offered a private room January 21, 2026 and R1 was shown the room January 29, 2026 and declined the room." During LPA's interview with R1, R1 was observed using a walker and sat on the walker during the interview. R1 was asked by three (3) staff to move to the main building because of R1’s decline in health and R1 has continued to refuse to move. Furthermore, LPA interviewed three (3) staff that have observed R1 requiring a walker to walk. One (1) of the three (3) staff stated, "if R1 does not have the walker, R1 uses the wall for support and walks against the wall." Two (2) of the three (3) staff stated, "I have never seen R1 without a walker and R1 has denied all help from us." LPA obtained an updated resident appraisal dated 03/04/26, and an updated Appraisal Needs and Services Plan dated 01/06/26 which R1 declined to sign that says R1's health has declined and needs help in different areas of Assisted Daily Living. Additionally, LPA received documentation regarding R1's admission to a skilled nursing on 05/15/2024 that states R1 has a history of falling, muscle weakness and needs help bathing, dressing, transfers, toilet use and grooming/personal hygiene. LPA interviewed an additional three (3) residents that reside in the same cottage that R1 currently lives in whom are ambulatory and do not need any assistance walking and they have also observed R1 using a walker daily. LPA interviewed another resident that resides across the cottage in which R1 resides and which is also for ambulatory residents and that resident stated, "no one uses a walker and/or wheelchair in this cottage." Therefore, based on the interviews conducted the allegation(s) is UNSUBSTANTIATED at this time.
An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.
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