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32 | The investigation revealed the following: Regarding allegation: Staff are limiting resident's visitor time. It was alleged that facility staff limited R1's visitation time by one hour per week.
Interviewed Administrator and staff stated that facility allows visitation with family members and friends and facility encourages these visits. They stated that visitors are welcome at any time and for residents security, visitors must register at the front desk when entering the Community and sign out when they leave. LPA reviewed the facility’s visitor policy which states that residents have the right to visitors in which residents are able to have visitors of their choosing at any time. Interviewed Administrator and staff mentioned that facility staff are aware of who the Responsible Party (RP) / Power of Attorney (POA) for each resident and per their request visitation hour can be changed, limited or restricted if there is restriction order from the court. Interviewed Administrator and staff stated that for R1 there is a visitor (V1) who's visitation hours were limited by R1's POA. They stated that V1's visitation hours are limited to one time per week for one hour. POA made this decision after R1 was observed agitated and emotionally distressed after V1's visits. LPA reviewed emails between Facility and R1's POA. It says " V1's presence and poor behavior and choice of unpleasant and negative talking points has clearly contributed to R1's agitation and emotional distress...additionally V1 placed a tracking device in R1's purse which is unacceptable. I demand that Silverado medical and care team limit V1's visits to one supervised visit per week, for one hour, on Wednesdays and any request to change the visitation day will be made at least one week in advance....". Interviewed Administrator and S1 stated that V1 was aware that R1's POA would only like V1 to visit once a week per hour and on occasions when V1 has stayed longer than one hour they has been asked to leave. Interviewed Administrator mentioned that R1 was observed to be tired in the long visits V1 that R1 would tend to refuse their meals and would not participate in activities. Also gets more easily upset at times when V1 is around and talks to R1 about "escaping", going home. Interviewed S1 stated on 04/15/26 at the time of visit, V1 was making statements to R1 that they will "kidnap" R1 during the visit. V1 was notified that their visit was only 1 hour due to past visits history, that V1's comments and suggestions caused emotional distress and agitation to R1.
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