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32 | Regarding the allegations: 1.) Facility staff handled resident in a rough manner. It was alleged that an unnamed resident, possibly, Resident #1 (R1) screams in the middle of the night and refuses to have their diapers changed and fights with the caregivers leading to the caregivers handling R1 in a rough manner. Interview conducted with R1 revealed that there are no concerns regarding staff treatment. Interview conducted with a night shift staff revealed that R1 can be difficult but that caregivers are trained to handle residents with behaviors and that night shift staff care greatly for all residents. Staff interviewed during both visits denied the allegation. Staff interviews revealed that staff are trained on how to assist residents with behaviors. Record review of staff training revealed that staff take online courses on Relias and staff have taken training courses of the following: Person-Centered Care in Assisted Living, Preventing, Recognizing and Reporting Abuse, Dementia Care: Managing Challenging Behaviors, and The Meaning Behind Behaviors. Interview with the ED denied the allegation and stated that his staff are trained properly on how to assist residents with aggressive behaviors. Interviews conducted with five (5) out of five (5) residents revealed that staff are helpful and have not handled them in a rough manner. Furthermore, none of the staff or residents interviewed during all visits corroborated the allegation. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.
2.) Facility staff did not assess resident properly. It was alleged that an unnamed resident, possibly, Resident #1 (R1) requires a higher level of care and is a better fit in the Memory Care (MC) side as R1 screams all night. Record review of R1’s documents reveal that R1 does not have a dementia diagnosis and is responsible for themselves. Per record review, R1 moved into the facility on 05/07/2022 on the Assisted Living (AL) side. Upon admission, per preplacement appraisal R1 did not require assistance with bathing, dressing, grooming and transferring. R1’s service plan was last updated on 5/10/2025; per service plan, R1 needs full assistance with dressing, and grooming. Interview with the ED revealed that once a resident is showing signs of dementia or similar behaviors, discussions are held with the resident and responsible party to go over options such as Memory Care (MC). The ED explained that the decision is made by the residents and their family or the party responsible, not him. The ED explained that R1 is self-responsible and has no desire to move into MC. The ED explained that he cannot forcibly move R1 to MC. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided. |