Complaint Investigation Report

Allegation: Staff does not ensure resident's bathing needs are being met.

It was alleged that the facility do not care for R1's hygiene/shower in a timely manner. To investigate this allegation while interviewing a sample of twelve (12) residents, LPA conducted a random inspection of three (3) pendants and staff responded within a reasonable time. Interview with the Business Office Manager (BOM) and Health and Wellness Director (HWD) revealed that the facility’s expectation for response time is 15 minutes. In addition, BOM and HWD informed LPA that all residents are provided showers at least twice a week or as needed. LPA conducted interviews with four (4) staff members, and all parties interviewed confirmed the statements provided by BOM and HWD. Interviews with four (4) staff also revealed that they respond to residents' call buttons immediately and if the staff member is not available to assist, they communicate with each other to make sure the call/page is taking care of right away by the next available staff. Interviews with eleven (11) out of twelve (12) residents expressed no concerns regarding the above allegation. Based on interviews and the information received, allegation is deemed Unsubstantiated at this time.

Allegation: Staff leaves resident soiled for extended periods of time.

It was alleged that R1 was left in his/her own feces and not being cleaned. To investigate this allegation LPA conducted an interview with the Business Office Manager (BOM) , Health and Wellness Director (HWD) and was informed that all incontinent residents are scheduled to be changed every two hours or as needed. Furthermore, interview with four (4) staff members confirmed the statement provided by the BOM and HWD. LPA was also informed that R1 was able to independently care for self. LPA conducted an interview with R1 and was informed that he/she is independent and requires no assistance from the staff. Lastly, eleven (11) out of twelve (12) residents interviewed, expressed no concerns regarding this allegation. Based on the information obtained through interviews, there was insufficient evidence to prove R1 was left in soiled for an extended period of time. Therefore, the allegation is deemed Unsubstantiated at this time.

No deficiency issued during todays visit.

Exit interview conducted and copy of this report signed and delivered.