Complaint Investigation Report

Staff do not meet resident needs.- UNSUBSTANTIATED

It was reported that on 03/25/2026 Resident 1 (R1) arrived at a medical appointment dirty and smelled of urine.

LPA reviewed LIC602 Physicians Report dated 08/12/2025 which states that R1 is able to bathe, dress, groom, and toilet themselves. Resident Appraisal (no date) states that R1 requires help with bathing and personal hygiene. Care Plan states R1 is aggressive when approached for care, staff instructed to document when R1 refuses showers or hygiene assistance. R1 is also aggressive when approached for toileting care and refuses briefs though shows signs of incontinence.

LPA reviewed observation notes for R1. 03/30/2026 Refused shower three times. 03/31/2026 Refused to use toilet or get out of bed. 04/01/2026 Refused help from staff, cursed at staff when asked to shower.

LPA interviewed 6 staff. All staff interviewed stated when they offer to assist R1 with activities of daily living (ADL) R1 refuses and becomes verbally and physically aggressive toward staff. Staff stated that R1 refuses showers and is physically and verbally aggressive when staff offers to assist R1 with showers and tells staff they have taken a “bird bath” and do not want to shower.

Executive Director stated R1 won’t let staff take care of them. R1 is verbally and physically aggressive to staff. R1 went out recently to the hospital and had a psych eval. When R1 goes out to hospital, staff does anything they can to clean R1’s room. R1 went to their doctor on 3/25/26 after a hospital stay. ED states staff can’t force R1 to take a shower but do offer R1 showers and R1 blatantly refuses.

It was determined that although it is true that R1 arrived at a medical appointment dirty, R1 continually refuses showers and staff assistance with ADLs. Staff cannot force R1 to shower or accept assistance with ADL’s. This allegation is unsubstantiated.