Interviews conducted with residents R1-R4 indicated that there has not been any arguments or altercations seen or heard by staff. R1-R4 are pleased with the care they are receiving from all staff members at this time and had no complaints regarding the quality of care. Interviews conducted with Administrator indicated that once they were made aware of the supposed incident, facility conducted an internal investigation, interviewing residents and staff. Administrator also changed the staff schedule to separate the staff members until the investigation was complete. Administrator was unable to determine whether the altercation occurred based on their internal investigation. Due to conflicting interviews, LPA is unable to confirm or deny the incident happened. Therefore, the allegation staff engaged in an altercation in the presence of resident is unsubstantiated.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above 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.

Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.

Interviews conducted with residents R1- R4 indicated that staff are assisting with toileting and any needs that come up. Staff are quick to respond when call buttons are pressed. Interviews conducted with staff and Administrator indicated that staff are following resident’s care plans for incontinence needs. Not all residents currently need assistance with toileting but staff will ensure that each resident who needs assistance is receiving it. Records reviewed indicated that there are residents in care who do have frequent urinary tract infections (UTI) but the facility and the physician are aware and are prescribing medications to help. Staff keep a close watch to ensure that UTI symptoms do not worsen. Therefore, the allegation staff does not ensure resident’s restroom needs are being met resulting in resident’s developing UTIs is unfounded.

Staff does not follow resident's care plan.

Interviews conducted with residents R1-R4 indicated that care needs are being met and staff are following their care plans. R1-R4 had no complaints in regards to the care being provided and no additional assistance was needed other than what was being provided by staff. Interviews conducted with staff and Administrator indicated that each resident’s care plan is being followed and updated on a regular basis. Staff are trained to follow the care plans and will update Administrator when changes need to be made to the care plan. Records reviewed indicated that all residents care plans are up to date and reviewed by the Administrator to ensure accuracy. Each resident’s care plan is based off of the resident’s LIC602 physician’s report and their appraisals conducted. Therefore, the allegation staff does not follow resident’s care plan is unfounded.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.