The Department investigated the allegation of staff handling resident in a rough manner. LPA interviewed staff, and all staff denied hitting and/or handling resident in a rough manner. LPA interviewed F1 who denies staff handled R1 in a rough manner. LPA reviewed hospice notes, which did not indicate any mishandling of the resident.

During the investigation, LPA conducted interview with (1) reporting party, (1) staff, (1) resident, and (1) family member. LPA also reviewed R1’s resident records and hospice reports. Based on interviews and record reviews, LPA finds allegation to be Unfounded.

Allegation: Staff retaliated against resident for reporting concerns

The Department conducted interviews that did not reflect any concerns that staff retaliated against residents for reporting concerns. Staff are aware about Residents Rights and are aware about their Mandatory Abuse Reporting requirements as needed. On 05/21/2025 LPA observed complaint hotline posters posted in the facility. From this gathered information, Department did not observe that staff were discouraging residents from filing any complaints while in care, therefore, this allegation was Unfounded.

Allegation Staff do not ensure that resident's hygiene needs are met

Utilizing record review, interviews and observations to investigate this allegation. Staff interviews indicated that staff were providing all ADL assistance, including toileting and bathing to residents per their needs and service plan. Staff interviews indicated that staff were assisting residents for their toileting needs every 2 hours or as needed. Resident interviews reflected that their care needs were met by staff and there were no issues to address. F1 stated they are happy with the hygiene care at the facility. LPA observed residents in care to be clean and odor free, therefore, this allegation was Unfounded.

Through interviews with F1, it was discovered that the hospice agency had trouble initially contacting staff. R1 was on hospice when they were transferred to this facility and during this transition in December of 2024. After the initial miscommunication F1 stated they do not have any problems with their hospice agency and have been very happy with their experiences with them. Due to miscommunication and not intentionally interfering with the residents’ services, this allegation was Unfounded.

Based on records reviewed, interviews and observations, LPA finds the above allegations to be Unfounded- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.

Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.