Complaint Investigation Report

Interviews with S1, S2 and indicated that R1 receives regular assistance with incontinence care in accordance with their care plan. A review of the staff schedule revealed that sufficient staff were assigned to provide necessary care. LPA reviewed the care plan. The care plan detailed the frequency of incontinence checks and the type of support R1 should receive. A review of the incontinence care logs showed that staff documented each check and change. LPA also checked the log for how checks are being documented. These logs were complete, consistent, and matched the interventions written in the care plan. The staff schedule also confirmed that there are enough staff assigned to meet R1’s needs.

Allegation: Staff are not following a resident's meal plan: Unsubstantiated

LPA interviewed S1, S4, the head chef, and two kitchen staff (S6,S7). S1 stated that R1’s meal plan remains unchanged and continues to follow the guidelines set by hospice services, as outlined in the last care plan dated 08/2024. S1 also stated that she regularly checks in with kitchen staff to ensure R1s special diet needs are met. LPA also interviewed S4 who stated that “the special meal plan is posted for reference in the kitchen. LPA toured the kitchen and observed the meal plan posted in the kitchen. LPA also requested a sample of the food being served to R1 and interviewed R1 regarding his meals. R1 stated that “the food is fine”. LPA also interviewed R2 and R3 who stated they have no complaints about the food.

Allegation: Staff do not provide resident with housekeeping services: Unsubstantiated

LPA interviewed S1 who stated that “R1 has a designated housekeeping day and that “staff continuously provide housekeeping services as scheduled”. S1 provided documentation, including the housekeeping schedule and staff assignments, which confirmed that regular cleaning services are in place for R1. LPA also reviewed the housekeeping schedule, which reflected consistent and ongoing housekeeping services being provided. Additionally, LPA conducted a tour of R1’s room and observed that the room was clean and sanitary. LPA interviewed R2 and R3 who stated they have no issues with housekeeping. LPA also toured R2 and R3's room and were clean.