Complaint Investigation Report

Regarding allegation “Resident was left in soiled diaper for extended period of time” it was alleged that R1 was left in a soiled diaper for more than ten (10) hours. Interviews conducted reflected the R1’s family was notified by the facility ED that R1 had not been checked since 5:45 P.M. on the evening of 09/29/2025. Information gathered during the course of the investigation reflected that, the ED made a typographical error when corresponding with R1’s family and inadvertently stated P.M. vs A.M. Per the ED, the information was inaccurate as the night shift begins at 10:00 P.M. and ends at 6:00 A.M. the following day. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Resident was left in soiled diaper for extended period of time” is deemed unsubstantiated at this time.