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32 | LPA conducted interviews with three (3) residents, all of whom stated that they receive assistance whenever they use the pull cord for help. LPA conducted interviews six (6) staff members, all of whom stated that all pull cords were operational. LPA tested three (3) sample pull cords and confirmed that the pull cords were operating. There was a panel in the building that lights up on the corresponding room numbers when pull cords were pulled.
Based on interviews conducted and observations, the evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated at this time.
It was alleged that staff did not respond to resident timely. Information received indicated that Resident #1 (R1) waited for over one (1) hour for a nurse. The Department staff conducted an interview with R1, who stated that they have experienced delays of 30 minutes to one (1) hour when requesting assistance. LPA conducted interviews with three (3) residents, who reported waiting times from right away to 15 minutes, and the residents expressed that the waiting times were reasonable. LPA conducted interviews with six (6) staff members, all of whom confirmed the statements from the residents interviewed.
Based on the interviews conducted, the evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated at this time.
It was alleged that facility is understaffed. The Department did not receive any details on this allegation. LPA conducted a review of staff schedule for the month of August 2026 and observed that the facility was fully staffed in all four (4) buildings in the facility. LPA did not observe any lack of staff coverage. LPA conducted interviews with three (3) residents, none of whom expressed any concerns about staff coverage. LPA conducted interviews with six (6) staff members, all of whom stated that the facility was fully staffed, and there were no concerns about being short staffed. LPA toured all four (4) buildings of the facility and observed the same number of staff members in the staff schedule.
Based on interviews conducted, records review and observation, the evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated at this time.
A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the 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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