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32 | Allegation: Staff leave residents unsupervised during emergency evacuations.
It was alleged that residents were not informed when alarm events ended, and that at least three alarm activations occurred at night when no staff were present at the front desk. It was further alleged that alarms sounded simultaneously in resident rooms, hallways, and the Memory Care unit.
On 06/09/2026, between the hours of 11:50am -12:00pm, the Department interviewed A1 in regards to the allegation. A1 denied the allegation and stated the facility uses a shelter-in-place protocol, evacuation only occurs for a confirmed fire, and staff supervise residents including overnight med-techs and caregivers. The administrator stated she was not aware of any alarm activation where residents were left unsupervised and stated the fire department leads evacuation during a true fire.
On 06/09/2026, between the hours of 9:15am - 9:22am, the Department interviewed 8 staff in regards to the allegation. 7 out of 8 staff denied the allegation and stated residents are only instructed to use stairwells when evacuation is ordered and that staff remain available during alarm events. 1 out of 8 staff did not confirm nor deny the allegation and stated they had not worked night shifts during an alarm activation.
On 06/09/2026, between the hours of 10:15am - 11:18am, the Department interviewed 9 residents in regards to the allegation. 7 out of 9 residents confirmed the allegation and stated staff provided inconsistent instructions, some residents received no direction, and during nighttime alarms no staff were visible in hallways or at the front desk. 2 out of 9 residents did not confirm nor deny the allegation and stated they were aware of alarm activations but did not provide details regarding staff supervision.
On 07/16/2026, between the hours of 2:00pm - 3:00pm the Department conducted a records review and observed the following: reviewed available incident reports, staff logs, and facility documentation and did not observe any entries indicating that residents were left unsupervised during emergency evacuations or fire alarm events. No records were found documenting resident evacuation, lack of staff presence, or staff failing to supervise residents during an alarm.
Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. 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 is UNSUBSTANTIATED
Exit interview conducted with Dawn Smith (Executive Director) and a copy of this report was provided. |