Complaint Investigation Report

Observed Preparation H and Neosporin in restroom medicine cabinet, toilet bowl was unsanitary and dark brown in color, shower floor was full of debris, drain partially blocked with debris. Regarding R1’s care. Per R1’s Physicians Report (LIC 602) provided by facility administrator, dated 06/15/2022, R1 is diagnosed with dementia and is marked yes at risk if allowed direct access to personal grooming/hygiene. LIC 602 indicated, R1 is unable to administer or store medications, incontinent, and full assist with ADL.

Laminate floor heavily soiled with dried liquid, observed resident’s clothes that resident is wearing to be heavily soiled. In room AC unit filter caked with dust. Bathroom smelt of urine and feces. Feces were in unlined trash can in bathroom. Toilet seat was covered in debris, inside of toilet bowl was pink and brown in color, fan vent was caked in dust. Regarding R2’s care. The Department observed the resident to be in soiled cloths. Staff said R2 should be showered 2 times per week however R2 is not. R2’s assessment states R2 only requires verbal prompting to bathe however he refuses and will go 2-3 weeks without bathing. The Department requested and was provided the resident’s Physicians Report (LIC 602) dated 9/23/2020 by Facility Administrator July 2022. LIC 602 indicates R2 has a diagnosis of dementia. LIC 602 indicates R2 does not have a bladder or bowel impairment however staff interviews indicate that R2 often soils themselves. It has been longer than a year since LIC 602 was last updated by the doctor which is a violation of regulation.

Bathroom smelt of urine and feces, soiled briefs were in bathroom trash can, toilet bowl heavily soiled and brown in color. Regarding R3’s care. R3 LIC 602 dated 1/10/2022. Resident diagnosed with dementia. Cannot bathe or groom self.

Observed in the refrigerator, plates of food not labeled with name or date, freezer container of unlabeled food without a lid, kitchen island drawer broken lock contained sharp kitchen tools such as wine opener meat thermometer, vegetable peeler accessible to residents in care.

Community bathroom on memory care side 12:07 PM

Flooring is white in color however at the base of the toilet is red and dark brown in color. Toilet bowl has brown ring.