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32 | The Administrator stated that there have not been any incidents brought to the attention of the management team regarding physical behavior with other residents in care. Information obtained from interviews with the facility staff confirmed information provided by the administrator, that behaviors are documented and reported. Additional information obtained from interviews with staff advised that most of the residents are elderly and require assistance to ambulate, with walker or wheelchair. Additionally, several of the residents, including R1, may have cognitive challenges therefore if they are rude or upset with another resident or staff they usually do not recall or know why they are upset. Information obtained from interview with R1 was not reliable due to R1’s cognitive comprehension and mental decline due to their diagnosis of Alzheimer, Dementia. Additional information obtained from additional resident interviews was not reliable due to similar diagnosis. Information obtained from interview with the Witness advised that there were no concerns with how the facility staff attend to the daily needs of R1. There were no noticeable accounts that R1 was unsupervised or concerns with physical behavior with other residents on the dates and times they were out to visit with R1.
Regarding the allegation, Staff leave residents unsupervised for extended periods of time, it was reported that staff will leave the facility three to four times during the day for about 30 minutes at a time to go to assist at other homes, and at this time the residents are left without supervision. When interviewed by the Administrator, Sarah Mckenzie denied the allegation. The Administrator advised that when staff leave to take their scheduled breaks the Administrator and two caregivers come to relieve the staff for breaks. Residents are never left without supervision. Information obtained from interviews with staff indicated that they are being released for their break by the Administrator and two caregivers. Additional staff interviews indicated that they do not leave residents unattended when they take their breaks or to assist at other homes. Information obtained from interviews with R1 was not reliable due to R1’s cognitive decline. Additional interviews with additional residents were not dependable due to their diagnosis of dementia and or Alzheimer’s. Information obtained from interviews with witness indicated there was no concern regarding the staff leaving the residents unattended to work in other homes. LPA’s review of the records including a R1’s medical assessment dated 12/21/2025, revealed R1’s cognitive abilities, between aging and dementia. Additional record reviews including staff schedules of staff breaks, and facility daily sign in and out, dated for March 2026, confirmed sufficient staff present to provide care and supervision during staff scheduled breaks. LPA’s observations during several unannounced visits confirmed there were sufficient staff present to provide supervision and care to the residents in care.
Based on interviews, record reviews, and observations, the allegations Staff are not preventing resident from engaging in physical behavior with other residents in care, and staff leave residents unsupervised for extended periods of time, has been deemed unsubstantiated. An allegation determined unsubstantiated means although the allegation may have occurred, there is not sufficient evidence to support the listed allegation.
An exit interview was conducted. A copy of this report was explained and given to Administrator, Sarah Mckenzie.
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