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32 | Continued from LIC9099...The facility provided staff schedule for the month of May 2026 indicating that there are two caregivers designated to assist residents in the assisted living area on Sundays through Wednesdays and Fridays, there is an extra staff designated, but they are in light duty, which means that they are unable to assist residents with incontinence care or assist with two people assistance if needed in the mornings, three caregivers assigned on Thursdays and Saturdays and one med-technician (med-tech) assigned in the mornings and afternoons; One caregiver assigned for night shift with one med-tech. Memory Care unit schedule for the month of May 2026 indicates that there are in average of about two to three caregivers to assist residents with incontinence care, fall risk or two people assistance needs including one of the two caregivers who are in light duty that alternates between both units and one med-tech. Two caregivers and one med-tech are assigned for night shifts in memory care unit. Based on interviews conducted by LPA with staff (S1, S2, S3, S4, S5 & S6) it was revealed that facility has only two staff assigned to work on assisted living unit to assist about 68 residents including residents with incontinence and hospice care needs between all five floors, and there are about two to three caregivers including staff who are in light duty to assist about 12 residents with incontinence care or needing two people assistance. Per staff, caregivers who are in light duty are not able to assist residents with current needs due to lifting restrictions. Furthermore, staff revealed that they have been assigned to perform laundry services as well as conduct activities for residents in care without them having any experience performing this task. However, Administrator indicated that the facility has a designated responsible employee who has at least one year of experience conducting group activities according to residents’ needs as stated by regulation. According to staff interviewed, it is revealed that med-tech rarely do help them assisting residents with incontinent care or two people assistance. Based on interviews conducted with residents in care (R1, R2 & R3) revealed that when they push their pendants, there are caregivers who come clear of their pendants and say that someone will come shortly to assist them, but on average it takes between 15-20 minutes until someone comes to assist them with incontinent care. According to Administrator, there are certain residents who has preference of certain caregivers and they decline other caregiver assistance until their preferred staff is available. Based on records review and interviews conducted by LPA with involved parties reflects conflicting information resulting in LPA is unable to determine if the facility has sufficient staffing or if the current number of staff present is able to provide the services necessary to meet the residents’ needs at all times. A finding that the complaint allegation occurs of facility does not have sufficient number of staff at all times to provide the services necessary to meet the resident's needs is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. |