Complaint Investigation Report

It was alleged resident was left in wet diapers for extended periods of time and staff failed to meet resident's hygiene needs . However, based on interview with 3 of 5 staff, R1's hospice agency conducts visit daily and assist R1 with toileting and dressing. S4 and S5 stated that two rounds are conducted per shift. LPA discovered during an interview with S4 and S5 that residents who are under hospice are also changed as needed by caregivers.

It was alleged resident was not adequately fed while in care. On 1/16/2023, LPA L. Fontanilla reviewed R1’s hospice notes from April 2021 to August 2021. Based on records reviewed, R1 had a fair appetite. R1 preferred to pick own food and refused assistance from staff with meals. Notes also indicate that R1 was consuming 30-50% 3 times a day.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED .

Exit interview conducted and a copy of this report provided to Assistant Executive Director.