The Department conducted facility’s observations, record review and interviewed three (3) residents and three (3) staff members to investigate the complaint allegation. During staff interviews it was learned that the facility has a 2-hour check rotation. 3 of 3 staff stated they were checking on R1 at hourly at which time they would check on resident, rotate resident and provided incontinence care when needed. Administrator stated R1 was checked on regularly. Based on gathered information, It was determined that staff were checking R1 at least every two hours, usually more often, therefore the allegation is UNSUBSTANTIATED.

Allegation- Staff did not dispense medication as prescribed and did not properly store resident's medications. -UNSUBSTANIATED

The Department conducted facility’s observations, record review and interviewed three (3) residents and three (3) staff members to investigate the complaint allegation. Records were reviewed for resident’s medications for July 2024. Records reflected that facility was managing resident’s medications per their physician’s orders with proper record keeping per Department’s Regulations. 3 staff interviews conducted on 07/08/24 indicated that staff were giving resident’s medications per their physician’s orders and there were no problems to address. 3 residents interviews conducted on 07/24/24 reflected no medications mismanagement issues by facility staff. Based on this information, this allegation was found to be UNSUBSTANTIATED.

Allegation- Resident did not have access to call button. .-UNSUBSTANIATED

The Department conducted facility’s observations, record review and interviewed three (3) residents and three (3) staff members to investigate the complaint allegation. 3 staff interviews conducted on 07/08/24 indicated that staff provide access to call buttons for all residents and assist them when called, however there were some residents who were not able to use call button due to their health issues, so staff check on them regularly to address their care needs. 3 residents interviews conducted on 07/24/24 reflected that they have access to their call button and staff assist them in timely way and there were no problems. During Department visits on 07/08/24 and 07/24/24, it was observed that residents have access to their call button, and they were using them as needed. Based on this information, this allegation was found to be UNSUBSTANTIATED.

Allegation- Staff did not provide adequate supervision to resident in care. .-UNSUBSTANIATED

The Department conducted facility’s observations, record review and interviewed three (3) residents and three (3) staff members to investigate the complaint allegation. 3 staff interviews conducted on 07/08/24 indicated that staff provide care and supervision to all residents per their needs and service plan and there were no problems. Administrator stated that they conduct training with their staff to go over any residents’ care issues concerns and address them in timely way. 3 residents interviews conducted on 07/24/24 reflected that their care needs were met at facility and staff assist them in timely way and there were no problems. During Department visits on 07/08/24 and 07/24/24, it was observed that staff were attentive to residents’ care needs and residents were observed to be in good care. Based on this information, this allegation was found to be UNSUBSTANTIATED.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above all allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.