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32 | According to the allegations received, Resident #1 (R1) was shaken by staff, staff yelled at and argued with residents, and R1 missed a medical appointment due to staff not responding to the door when transportation was outside. It was also alleged that R1’s clothing went missing, R1’s phone calls were being screened, R1’s low sodium diet was not being followed, and residents were not provided enough food and not provided dinner if they were late.
Review of R1’s medical assessment dated February 23, 2023, revealed that R1 exhibited aggressive and inappropriate behaviors. Interviews with staff and residents did not reveal that R1 was shaken by staff, that staff yell and argue with residents, nor did it reveal that R1 missed a medical appointment due to staff not responding. Furthermore, interviews did not reveal that residents’ phone calls were screened nor did residents’ clothing go missing.
Review of R1’s Individual Service Plan (ISP) dated September 5, 2023, revealed that R1 had a special diet need of low (or no) salt. Interviews with staff revealed that residents’ modified diets were charted and verbally communicated. Interviews did not reveal that residents were not provided with enough food and not provided dinner if they were late.
Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that that staff handled resident in a rough manner, staff engaged in verbal altercations with resident, staff did not ensure resident was transported to appointment, staff did not safeguard resident's personal belongings, staff did not ensure resident had privacy, staff did not meet residents dietary needs, and staff did not provide adequate food service to residents. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Marketing Director Sneha Khalid, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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