Complaint Investigation Report

Allegation: Staff do not meet the residents’ showering needs

S1 and S2 stated that all the residents are on a showering schedule and receive at least 3 showers a week and more as needed. LPA reviewed residents’ care notes that indicate showers happen according to schedule.

Allegation: Staff are sleeping during the night shift

S3 and S4 work the overnight shifts at the facility. Both S3 and S4 denied ever seeing staff sleep on the overnight shift. S1 also stated that she has never received a complaint about staff sleeping while on duty except from W1. S1 investigated W1’s allegation and found it not to be true.

Allegation: Staff are not providing adequate care and supervision to the residents

Interviews with facility staff revealed that they all felt that there are enough staff to provide adequate care and supervision for the residents. During waking hours there are 3 staff on duty for the 4 residents along with the House Manger and Administrator.

Allegation: Staff are not meeting the residents’ diapering needs

S1 and S2 stated that the incontinent residents at the facility are changed every 3 hours or more as needed. LPA observed the residents to be clean, nicely dressed and free of odor. The facility was also free of odor. Facility staff also reported that they change the residents diapers as scheduled or when the residents’ have a need.

Allegation: Staff are being treated with ammonia

W1 stated that the residents’ diapers smell like ammonia and that she suspects staff are using ammonia to clean residents. All facility staff deny ever using ammonia to clean the residents. LPA observed the residents to be clean, well dressed and odor free. Inspection of the facility revealed that there is no ammonia on site.

Allegation: Staff mishandled the residents’ medications

W1 couldn’t remember any specific incidents when medication was mismanaged but wanted LPA to check into it. LPA interviewed staff and reviewed medication administration records (MARS) for January, February and March 2025 and found no irregularities.

This agency has investigated the above allegations, we have found that the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED .

Exit interview conducted, a copy of this report provided.