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32 | The investigation revealed the following:
Regarding the allegation “Staff lock residents in their rooms.”, it is being alleged that the only way to access the room is with a key held by facility caregivers. Record reviews revealed that, within house rules, "Always lock your door when you leave your apartment. For safety and security reasons, additional locks or chains are not permitted on any apartment doors. Please do not block your door from the inside.". CDSS observed that when a door is locked, the lock is automatically opened from within when the handle is turned. Interviews revealed that seven (7) out of eight (8) residents and all four (4) staff have denied the allegation has taken place. Based on record reviews, CDSS observation and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Staff interfere with resident's private visitations.”, it is being alleged that 1:1 companions are no longer allowed to meaningfully interact with the residents. CDSS observation revealed that 1:1 companions are with their residents during the day. Interviews revealed that all eight (8) residents and all four (4) staff have denied the allegation has taken place. Based on CDSS observation and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation “Staff do not provided activities.”, it is being alleged that there is a lack of adequate activities for residents. Record reviews revealed that there are ample activities throughout the day, both in Assisted Living and Evergreen (memory care). There is a daily chronicle and a monthly schedule for residents to review. CDSS observation revealed there were activities throughout the day. Interviews revealed that all eight (8) residents and all four (4) staff have not agreed that the allegation has taken place. Based on record reviews, CDSS observation and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
There have been zero (0) deficiencies during today's visit.
An exit interview was held with Brenda Myers - Executive director and a copy of this report has been provided. |