Regarding the allegation that staff did not prevent a resident from engaging in self harming behavior, specifically that Resident #1 (R1) [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] was engaging in self harming behavior due to not eating. In an interview with R1, it was reported that on the day they were hospitalized, they did not eat breakfast or lunch because they did not want to. R1 reported that staff did encourage them to eat their meals. Additionally, R1's records indicate they are able to communicate their needs appropriately and has the capacity for self care.

Regarding the allegation that staff did not seek medical attention for R1 in a timely manner, per interview with staff, R1 initially declined to have ambulance services called to transport them to the hospital. Per staff interview, there were no symptoms that caused concern for immediate medical attention. Staff observed R1 to appear more “lethargic” than normal. After declining an ambulance service, facility staff then reached out to R1’s family to discuss their concern of R1’s symptoms of not appearing at baseline which ultimately led to R1 agreeing to call ambulance services a couple hours later. Interview with R1 and records reviewed corroborated this timeline of events. Additionally, an interview with an Outside Source (OS1) familiar with the facility reported that they have no concern when it comes to facility staff calling appropriate emergency services when needed.

The Department has investigated the above mentioned allegations. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated. An exit interview was conducted with Eveline Denton, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.