1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | (Continued from LIC9099 p.1)
Five (5) of five staff members interviewed had not observed any staff member interacting with a resident in a taunting manner or in a way that did not maintain their dignity. Staff interviews revealed that R1 exhibited manipulative behaviors and had been attempting to get a hospital bed prescribed to them, informing they would continue to complain against the facility until they received the bed; R1 was not medically indicated for a hospital bed. Staff interviews further revealed that R1 exhibited aggressive and threatening behavior toward staff when they did not get their way. Three (3) attempts were made to interview the staff in question, without success. Interview with R1 did not corroborate the allegation. R1 informed they enjoyed living at the facility and that staff treated them well.
Four (4) outside sources were interviewed during the investigation; the interviews did not corroborate the allegation. Outside sources informed being aware of the allegation but did not believe it had actually occurred. Outside sources believed that the claims were made as either a form of manipulation by R1, or a misperception of interactions that had occurred. Outside sources informed that R1 was assessed after the claims were made and no evidence of physical harm existed. Outside sources denied ever seeing staff handle a resident roughly or treat a resident without dignity. An outside agency conducted an investigation into the claims and found no corroboration that the events occurred. Another outside source corroborated that R1 was not medically indicated for a hospital bed.
Records review revealed that the staff member in question, S1, had not been scheduled to work at the facility since October 2023, corroborating staff statements that S1 was per diem and rarely worked at the facility. Records review also revealed that R1 was admitted to the facility on 11/29/23, approximately one month after S1's last shift at the facility. This shows that R1 and S1 had never met or interacted with each other.
During two unannounced facility visits LPA observed staff providing care to residents in different areas in the building, when the staff were unaware of LPAs presence. LPA did not observe any staff member assist or engage with a resident in a way that was taunting, undignified, or unwelcome to the resident. LPA directly observed staff's interactions with R1 during unannounced visits and no observations were seen of staff treating R1 without dignity.
Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Marketing Manager Maria Flores, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
|