1
2
3
4
5
6
7
8
9
10
11
12
13 | This unannounced visit by Licensing Program Analyst (LPA) Amber Coleman and Amy Goldenberg is being conducted to further investigate the above mentioned complaint allegations. During the course of the investigation, interviews were conducted with staff and residents, a review of staff records, review of resident charts, and copies of the pertinent documents was obtained. In regard to the allegation staff are over using physical and psychological physical restraints. Review of medication, medication logs and tour of the physical plant. LPA's observed no behavioral restraints by use of medication or physical restraints. It was alleged that resident's bedrails are being used as restraints. During tour, LPA observed no resident with full bed rails. It is alleged that resident's with cognitive impairments are signing their own consent forms. LPA reviewed 5 of 5 physician's reports. 5 of 5 resident records do not indicate conservatory status or a diagnosis that would prevent them from making their own decisions.
We have found the compliant allegations is unsubstantiated, although the allegations may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to Rosa Santos, Administrator |