During interviews with staff and residents regarding the allegation listed above. It has been determined that two residents who reside in the facility do not get along however based on interviews conducted, staff ensure that the facility provides a healthy and safe environment to all residents and there was no indication of harassment. Based on the information, the preponderance of evidence standard has not been met, therefore this allegation is unfounded.

Allegation- Food services are inadequate. Staff do not adhere to resident's special diet - Unfounded.

During the course of this investigation, LPA interviewed residents and staff, toured the facility, inspected the nonperishable and perishable food supply, and reviewed facility records. LPA finds staff provide adequate food service for residents in care. LPA reviewed weekly menus, food supply, and grocery receipts, confirming staff provide a well-balanced diet with fresh fruits and vegetables daily. Residents and staff interviews indicated that facility provides food to resident’s who require specialized diet orders. Residents and staff interviews indicated that they could report any dietary issues to management as needed however there are no issues with food services at this time. Based on this information, this allegation is unfounded.

LPA Bains interviewed 4 staff and 4 residents during complaint investigation on 09/12/23. The department conducted the investigation for the stated allegation from this complaint. The department conducted a tour of the facility on 09/12/23 and conducted interviews with residents and staff. Interviews did not indicate any residents, staff and/or witness observed that staff are not providing privacy to residents in care. Department observed during facility tour on 09/12/23 that facility staff appeared to be attentive to resident’s needs and providing them privacy while taking care of them and during resident’s personal time with families and visitors. During residents’ interviews, residents stated that facility staff are meeting their care needs and did not express any concerns with privacy or dignity. Residents’ interviews indicated that staff were treating all residents with dignity and respect and did not express any issues. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED.

Due to this information the department finds all above allegations to be UNFOUNDED - A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted and copy of the report left at facility.

Based on the information provided, the investigation conducted by the department involved facility observations, record review, and interviews with staff and residents to investigate the complaint allegation. During these interviews, it was revealed that the facility dispensed all residents' medications on time and administered them as scheduled. Furthermore, a review of the records for the months of August and September 2023 indicated that the facility maintained a proper logs for all medications in the centrally stored medication log, following physician's orders, and documenting them in the Medication Administration Record (MAR) without any errors. Based on these findings, this allegation is considered unsubstantiated.

Allegation- Staff are mismanaging resident's medical documentation. .-Unsubstantiated

Based on the information provided, the investigation conducted by the department involved facility observations, record review, and interviews with staff and residents to investigate the complaint allegation. During the record review, it was revealed that the facility is properly documenting medical records for residents per Title 22 regulations. Residents and staff interviews indicated that the facility conducts medical documentation and assessment of residents in a timely manner. Based on this, this allegation is unsubstantiated.

Allegation- Staff do not respond to resident's requests for assistance in a timely manner. .-Unsubstantiated

The department conducted staff and residents' interviews, reviewed records to investigate the allegation. During residents’ interviews, residents stated that staff respond to resident’s in a timely manner, however sometimes there is a delay in response due to staff assisting other resident’s needs. Interviews and record review indicated that resident’s ADL’s, which include, residents showering, incontinence and care needs are met as required and documented accordingly. Residents’ interviews indicated that staff were providing care in a professional manner and did not express any concerns. During interviews with facility staff and residents, it has been revealed that the facility is providing care to residents according to resident’s needs and service plans, therefore this allegation is found to be UNSUBSTANTIATED.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted. A copy of this report has been provided to facility.