1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | The investigation revealed the following:
Allegation: Staff did not respond to resident’s requests for assistance in a timely manner. It is alleged that a resident fell on the floor and was left unattended for a couple of hours. It is also alleged that a resident did not receive assistance from staff at their scheduled time, and when assistance was requested from staff using their pendant there was no response. On 07/24/24, LPA interviewed S1-S5. 5 out of 5 staff stated that they frequently check on their residents, and always go to them when the resident calls for them. On 07/24/24, LPA interviewed R1-R2, and on 08/07/24, LPA interviewed R3-R7. 6 out of 7 residents interviewed stated that staff checks on them promptly when needed. 6 out of 7 residents interviewed stated they are satisfied with the services being provided to them at this facility.
Based on LPA observations and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Allegation: Staff did not assist resident with mobility needs following a fall. It is alleged that after a resident fell, they called the front desk but there was no answer, and the resident then left a message. It is also alleged that the resident was left on the floor until the fire department arrived, then after fire department left, the resident was moved to a toilet chair and was left there. It is also alleged that staff refused to move the resident from the toilet chair to their bed using the Hoyer lift, so the resident sat in the toilet chair all night until AM shift assisted the resident to their bed. On 07/24/24 LPA interviewed Business Office Director, Armida Uchiyama (S1), and she stated that the resident had advised her of them falling, and that no one came to assist them. The resident told her that when someone finally came to them, they did not pick them up. Business Office Director, Armida Uchiyama stated she told the resident that that is their protocol, and that staff must make sure an EMT tells them resident is fine before moving them. She stated that this resident is a two-person assist and has a Hoyer lift. The resident told her that staff did not know how to use the Hoyer lift. She said she advised the resident that staff is trained, but the resident insists that they do not know how to use the Hoyer lift to their liking.
Continued on LIC9099-C |