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32 | Regarding allegation “Memory care resident have locking mechanism on bedroom door they are unable to unlock”:
It was alleged memory care residents were kept behind locked bedroom doors, due to facility staff being asked to unlock a resident’s bedroom door. LPA conducted an unannounced in-person facility inspection on 02/23/2021 for the purpose of opening the complaint and touring the facility, see report dated 02/23/2021. During the in-person facility visit, LPA observed and inspected all 48 resident bedrooms in both the first and second floors of the building. LPA observed there were 22 shared bedroom doors with doorknobs that do not require a key to enter. These doors can be locked and unlocked from the inside using a person’s thumb and index finger to turn the lock (thumb-turn lock) and can be unlocked from the outside by using a thumb fingernail to turn the lock. The 22 shared bedrooms, occupied by residents, were observed to be unlocked during the inspection. LPA observed there were 10 occupied private bedrooms, and 3 residents occupying the private rooms have a doorknob which required a key to unlock from the outside.
The 3 bedroom doors with doorknobs which require a key to lock/unlock the bedroom door from the outside can be unlocked from the inside with a thumb-turn lock (not a key). LPA observed residents (R1, R2, R3), with key lock doorknobs, in which a personal key is used to unlock their bedroom door from the outside. All 3 residents stated they were able to use their key and had their key available to open the door. R1 & R2 were observed demonstrating unlocking/locking their bedroom door from the inside and outside of the their bedroom during inspection. Based on the LIC 602 (Physician's Report) for R1 & R2, they are able to follow instructions. Administrator stated staff test R1 & R2 weekly on locking/locking their bedroom door. R3 was observed laying in their bed resting and stated they prefer their bedroom door to be locked when LPA and Staff (S2) exited the room. R3 was not able to demonstrate locking and unlocking their bedroom door from the inside or outside due to LPA not wanting to disrupt R3 from resting in their bed. Administrator stated staff have a master key to resident bedroom doors with key locks and are able to unlock the door in case of an emergency or for providing care to residents. Additionally, staff interviews indicated staff do not lock resident bedroom doors.
Administrator explained that although resident's bedroom doors are never locked, the facility has removed the thumb-turn lock doorknobs and replaced with doorknobs which do not have locking mechanism (doorknobs replaced on 03/02/2021). R3 uses a walker, wheelchair, and requires assistance with all transfers in and out of bed (per R3's LIC625 - Appraisal/Needs & Service Plan). Administrator stated R3's doorknob (requiring a key) was removed and replaced with a doorknob without a locking mechanism on 03/02/2021.
Report continued on LIC9099-C |