Complaint Investigation Report

Allegation: Staff are not following resident’s incontinent plan

LPA reviewed R1’s Service Plan dated 05/08/25, which indicates that R1 requires Continence Care six (6) times per day, with care partners completing brief checks every two (2) hours to ensure R1 remains clean and dry.

Review of chart notes dated 07/13/25 – 07/17/25 indicates that care partners were performing checks every two hours to reposition R1 and ensure they were clean and dry, as documented. In addition, the staffing schedule confirmed caregiver coverage for the required six-times-per-day continence care schedule.

Allegation: Staff are not following resident’s special diet

LPA reviewed R1’s Physician’s Order dated 07/02/25, which prescribes a pureed diet with thin liquids.

Review of chart notes dated 07/13/25 – 07/17/25 reflects that staff offered R1 foods and liquids consistent with the ordered diet, including soup, yogurt, pudding, mashed potatoes, Cream of Wheat, cranberry juice, and water. Documentation indicates that R1 would eat or drink at times and would occasionally refuse food, which is within resident rights.