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32 | Investigation revealed the following:
Regarding the allegation, “Facility does not employ adequate staffing to meet the needs of the residents,” it is alleged that there were only two staff members on floors #1, 2, 5 and 6 for the evening shift and the overnight shift and residents are not receiving showers. Record review of Assisted Living Care Schedule (05/04/25 – 05/10/25) revealed four to six staff members, including supervisors, worked Sunday through Wednesday evening (2pm – 10pm) and two to three staff members worked overnight (10:00pm – 6:00am). Seven staff members, including supervisors, were scheduled Thursday evening and three staff members were scheduled for the overnight shift. Four to six staff members, including supervisors, were scheduled for Friday and Saturday evening and two staff members were scheduled for the overnight shifts. Interview with S1 indicated that there are 42 residents in assisted living, management assist whenever there is a call off, and the memory care staff are also available to help in assisted living. Thus, the facility can have eight caregivers at one time. Four out of four staff interviews (S5, S7, S8, S10) indicated that memory care will support in assisted living when called. Three out of four staff interviews (S1-S2, S6 – S7) indicated there is enough staff to meet the needs of the residents. Three out of three staff interviews (S3-S5) indicated the facility is short staff due to call offs, but they are able to meet residents’ needs. Record review of the call logs revealed 21 resident calls were made on Friday, 5/9 from 10:00 PM – 6:00 AM. Two to four calls were made per hour. Record review of Assisted Living Care Schedule revealed two staff members worked. Both staff members indicated they were able to meet the needs of the residents. Record review of the call logs revealed 14 calls were made on Saturday, 5/10 from 10:00 PM – 6:00 AM. One to three calls were made per hour. Record review of Assisted Living Care Schedule revealed two staff members worked. Both staff members indicated they were able to meet the needs of the residents. Two out of three resident interviews (R1, R3, R8) indicated there is enough staff. Three out of three resident interviews (R4, R6, R7) indicated there isn’t enough staff but they are able to respond to care needs. One of out of two witnesses denied the allegation and the third witness declined to be interviewed due to no concerns.
Regarding the allegation, Facility does not employ adequate staffing to meet the needs of the residents, based on record review and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Continue to LIC9099-C. |