This complaint alleged that the facility staff did not provide timely medical care for R1. LPA Calderon noted staff giving morning medications to residents. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions. Reviewed incident report (dated11/07/2025), report indicates that R1 had fallen from R1 bed and sustained minor injuries. The report does state that caregiver did not call 911 or advise facility owner timely. Incident report written up (dated 11/07/2025) indicates that staff called 911 and facility owner fired caregiver who did not call 911 timely. Reviewed notice to staff check list for an emergency. Check list indicates 6 steps for staff to follow. Check patient, call 911, get a copy of patient ID & insurance card, copy of medication list, call family, generate incident report. Interviews indicate the following: S1 indicates that R1 fell out of bed and had minor injuries. S1 indicates that the incident happened at 6:30am and 911 was not called until 6pm. S1 indicates that this was not normal process and the staff that did not call 911 was fired. 3 out of 3 staff deny the allegation. R1 cannot be interviewed as R1 was in the hospital. 2 out of 3 residents could not answer any questions due to cognitive issues. 3 out of 5 residents deny the allegation. W1 indicates that R2 medical care is provided timely.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not get timely medical care for resident” is found to be UNSUBSTANTIATED.

This complaint alleged that the facility staff are not trained to work with medical personnel and provide residents with medical information. LPA Calderon noted staff giving morning medications to residents. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions. Records indicate the following: Check list for staff to follow for an emergency. 6 steps, check patient, call 911, get a copy of patient ID & insurance card, copy of medication list, call family, generate incident report. Interviews indicate the following: S1 indicates that R1 fell out of bed and had minor injuries. S1 indicates that the incident happened at 6:30am and 911 was not called until 6pm. S1 indicates that this was not normal process and the staff that did not call 911 was fired. S1 indicates that staff work with medical personnel every week and provide resident medical information when needed. 3 out of 3 staff deny the allegation. R1 cannot be interviewed as R1 was in the hospital. 2 out of 3 residents could not answer any questions due to cognitive issues. 3 out of 5 residents deny the allegation. W1 indicates that W1 has seen facility staff work with medical personnel on a weekly basis.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff are not properly trained on how to deal with medical personnel and residents’ medical information” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.