This investigation revealed that interviews conducted with Five (5) out of seventy-five (75) residents got along with facility staff and did feel that they were accorded with dignity and respect in their relationships with them. Interviews conducted with Five (5) out of forty-seven (47) staff members corroborated that they had not received a complaint from residents that they felt as though they were not being accorded with dignity from a specific staff member. A review of the facility staff records on the topic of “Personal Rights” training was conducted.

Based on the evidence gathered and interviews conducted, and records reviewed, 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 allegation of “Staff did not treat resident with dignity and respect” is unsubstantiated.

Allegation: Staff did not provide adequate food service.

Investigation consisted of the following: Interview of Five (5) out of seventy-five (75) residents. Interview of Five (5) out of forty-seven (47) staff members. LPA observed the facility and the food supply. Five (5) out of seventy-five (75) residents were able to respond to questions for interview purposes. Five (5) out of seventy-five (75) residents stated they felt staff did provide adequate food services.

The facility was clean and sanitary during visit. LPA observed the food supply to also be adequate at time of visit. LPA determine that the food service was adequate. Residents interviewed said they were full after each meal and had enough food.

Based on the evidence gathered and interviews conducted, and records reviewed, 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 allegation of “Staff did not provide adequate food service” is unsubstantiated.

Continued 9099-C

During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above. There is no evidence that resident’s are not provided a comfortable environment.

LPA interviewed Five (5) out of seventy-five (75) residents who stated no issues with ADLs being met at the facility. Five (5) out of seventy-five (75) residents stated they are given a comfortable living environment at the facility. Five (5) out of seventy-five (75) residents who get help with showers have no issues with the shower schedule and staff assisting. Five (5) out of forty-seven (47) staff members stated residents ADLs are being met on a daily basis. Five (5) out of forty-seven (47) staff members stated they assist residents with everything they need according to the scheduled services. LPA obtained a copy of a Personal Service Plan (PSP) which includes personalized assisted living based on an individual preference.

This PSP is itemized and includes but is not limited to assistance with medications, showering or bathing, bathroom, escort and mobility and dressing and grooming.

Based on LPA’s interviews conducted and records reviews, 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 violations did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff did not issue a refund

LPA conducted an interview with S1, S1 denied the allegation. S1 informed LPA that R1 is requesting a refund for full payment because of toast and room services. S1 stated that R1 was told the facility would provide new toast to R1’s room. S1 stated that R1 instead took it upon R1’s self to ask for R1’s full payment from the facility. S1 stated a prorated amount would be provided to R1. S1 stated that there was an ongoing back and forth between S1 and R1, finally in order to move forward S1 spoke to R1 on 11/11/2023 and 11/14/2023 to ask for more details. S1 called R1 to hear her side of the story. R1 stated that if the facility refunded the full amount R1 would drop R1's claims. S1 stated that the facility would call corporate about how to move forward. R1 was interviewed by LPA regarding the incident R1 stated that although she did live at the facility, R1 wanted a full amount payment of everything R1 paid to the facility. R1 stated that the matter could be resolved if the facility paid back full amount provided 10/31/2023 (admission date). Based on information gathered, LPA did not find enough evidence to support allegation “Staff are not providing resident with a refund.” Continued 9099-C

During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above. There is no evidence that resident’s needs are not being meet.

LPA interviewed Five (5) out of seventy-five (75) residents who stated no issues with their needs being met at the facility. Five (5) out of seventy-five (75) residents stated they are given a comfortable living environment at the facility and all needs are being met. Five (5) out of seventy-five (75) residents who get help with showers have no issues with the shower schedule and staff assisting and there needs are being met. Five (5) out of forty-seven (47) staff members stated residents needs are being met on a daily basis. Five (5) out of forty-seven (47) staff members stated they assist residents with everything they need according to the scheduled services.

Based on the evidence gathered and interviews conducted, and records reviewed, 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 allegation of “Staff did not meet resident's needs” is unsubstantiated.