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32 | . LPA’s interview with R1 confirmed R1 did not have any problem with having visitors. LPA interviewed two (2) other residents and their responsible parties, who were present at the time of LPA’s visit, and all affirmed that visitation had never been denied. LPA’s interview with the Administrator also confirmed staff had never denied any visitors for R1. LPA attempted to conduct interviews with seven (7) staff members who were employed at the facility in 2022. However, only one (1) staff member was available to participate in the LPA’s interview. That staff member corroborated the statements made by the Administrator, R1 and the other residents and their visitors. Based on interviews conducted and record review, this allegation is unsubstantiated.
It was alleged the facility does not have sufficient staff to meet resident’s needs. Information received indicated that R1 did not receive frequent visits from the care staff. LPA reviewed staffing records and conducted interviews, which revealed that each wing of the facility is staffed with three (3) caregivers and one (1) medication technician across all three shifts—day, evening, and night. LPA’s onsite observation confirmed the same staffing level. LPA conducted an interview with R1 who stated they never had any issues receiving care from the facility staff. LPA reviewed R1’s physician’s report, care plan, and hospice care plan and determined the facility was able to meet the needs of R1 with the observed staffing level. Furthermore, six (6) staff members and two (2) additional residents interviewed stated that staffing levels were sufficient to meet the residents’ needs. LPA attempted to conduct interviews with seven (7) staff members who were employed at the facility in 2022. However, only one (1) staff member was available to participate in the LPA’s interview. That staff member corroborated the statements made by R1 and the current staff members. Based on record review and interviews conducted, this allegation is unsubstantiated.
Based on LPA’s observation, record reviews, staff and resident interviews, the investigation did not reveal corroborating evidence to support the allegations that the facility is not allowing resident to have visitors, or the facility does not have sufficient staff to meet resident’s needs. Therefore, the allegations are determined to be Unsubstantiated. A finding of Unsubstantiated means that the allegation may have occurred or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred.
An exit interview was conducted where a copy of this report was provided.
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