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13 | Based on review of staff work schedules, observation of facility surveillance video, and interviews with client and staff, this allegation is determined to be unsubstantiated.
On the night of 12/7/22, it was alleged that there was only one staff working in the entire community. Upon review of facility staffing calendars for assisted living and memory care (Life Guidance unit), as well as time cards for 3 staff, there were 4 staff assigned to assisted living and 2 staff assigned to memory care for the overnight shift. On 12/20/22, LPA was advised that there were 87 residents in facility. At 10:52 pm, as per facility surveillance video of front entrance, a female staff is seen responding to emergency personnel and allowing them to enter facility. This is also documented by facility's electronic monitoring of exit doors and resident calls from their rooms or pendants. EMTs were responding to 9-1-1 call from resident in room 223. On the evening of 12/7/22, client in room 223 activated the call alert 5 times before EMTs arrived. Staff responded within 2 minutes, 16 minutes, 28 minutes, 1 minute, and 9 minutes, according to call alert history report. When interviewed on 12/20/22, resident could not recall calling for staff or 9-1-1-on 12/7/22.
Although the allegation may have occurred or is valid, there is not enough evidence to prove the alleged violation did or did not occur. |