It was alleged that staff did not safeguard resident’s personal belongings. LPA Rodriguez conducted a total of 7 resident interviews, and 3 staff interviews, of which all 10 interviews did not corroborate with the allegation by stating that residents are responsible for their own belongings. Per record review, residents are informed upon admission that they are responsible for their own belongings.

It was alleged that staff did not provide a safe and comfortable environment for residents. LPA Rodriguez conducted a total of 7 resident interviews, and 3 staff interviews, of which all 10 interviews did not corroborate with the allegation by stating that there are no complaints that have been made about the facility not being safe or comfortable. All 7 resident interviews expressed their satisfaction with the facility and the care being provided and confirmed that there were no health and safety concerns. During the tour of the facility, LPA Rodriguez observed residents to be happy, socializing, engaging in their preferred activities.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided.

LPA Rodriguez conducted a total of 3 staff interview of which all 3 interviews did not corroborate with the allegation by stating that if a resident attempts to wander away from the facility, there are alarms at the exit door that alert staff to attend to the resident. Per record review of resident 1 (R1) physician report, LPA Rodriguez observed that resident 1 (R1) is does not exhibit any wandering behavior. During the tour of the facility, LPA Rodriguez observed that the auditory exit alarms were operational and that there is staff present at the front to redirect residents if needed.

It was alleged that resident sustained a fall while in care and staff did not assist resident in a timely manner. LPA Rodriguez conducted a total of 7 resident interviews of which all 7 interviews did not corroborate with the allegation by stating that each resident has a pendant button that they press when they need help, to which staff respond quickly to assist. All 7 resident interviews also stated that staff are “very good” at obtaining medical attention, and in a timely manner. LPA Rodriguez conducted a total of 3 staff interview of which all 3 interviews did not corroborate with the allegation by stating that residents are educated on how to utilize their pendant button and that the response time for staff is no longer than 10 minutes. Per record review of the pendant report, staff responded to the resident’s call buttons between 4 to 17 minutes. Per additional record review, when a resident sustains a fall, staff conducts a body check and will contact 911 and also report to the health and wellness director.

It was alleged that resident was left outside the facility for extended periods. LPA Rodriguez conducted a total of 7 resident interviews, and 3 staff interviews, of which all the interviews did not corroborate with the allegation and denied of having any knowledge about an incident of a resident being left outside. 2 of the resident interviews, and 1 of the staff interviews stated that if a resident was outside for a long period of time, it was due to personal preference, and that resident will come back inside the facility at a later time. LPA Rodriguez did not observe any incidents or documentation that reported of a resident being left outside.

It was alleged that facility has mold. LPA Rodriguez conducted a total of 7 resident interviews of which all 7 resident interviews did not corroborate with the allegation. LPA Rodriguez conducted a total of 3 staff interviews, of which 1 of the staff interviews corroborated with the allegation stating that during the construction, when the carpet was removed, it was discovered that there was mold on the floor, however contacted a company to address it. Per record review, LPA Rodriguez observed receipts from the maintenance companies that assisted with the removal of the mold. During the tour of the facility, LPA Rodriguez did not observe any mold within the facility.

It was alleged that residents’ rooms are not being cleaned properly. LPA Rodriguez conducted a total of 7 resident interviews of which all 7 interviews did not corroborate with the allegation by stating that staff are constantly cleaning and that their rooms and laundry are always cleaned. LPA Rodriguez conducted a total of 3 staff interview of which all 3 interviews did not corroborate with the allegation by stating that there is a daily schedule for staff to clean resident rooms and do laundry. Per record review, LPA Rodriguez observed that the facility creates a schedule and has a log of which staff member is responsible for cleaning the rooms. During the tour of the facility, LPA Rodriguez conducted random room checks and observed that each resident room was clean, kept free of hazards, no odor, and was sanitary.

It was alleged that staff did not prevent resident from being harmed by other residents. LPA Rodriguez conducted a total of 7 resident interviews of which all 7 interviews did not corroborate with the allegation by verifying that they feel safe at the facility and denied of ever been harmed by, and also denied of ever witnessing another resident harm another. 5 out of the 7 resident interviews stated that they all get along with each other and enjoy socializing. LPA Rodriguez conducted a total of 3 staff interview of which all 3 interviews did not corroborate with the allegation by stating that there has not been an incident of a resident harming another. Per record review, there were no reports or notes of a resident harming another. During the tour of the facility, LPA Rodriguez observed that residents were happy, socializing with each other, and participating in activities.

**Continued on LIC9099-A**