Complaint Investigation Report

Regarding the allegation: Staff are not treating residents with dignity and respect. It was alleged that S2 has yelled at residents and speaks to them in an inappropriate manner. To investigate the allegation, LPA attempted interviews with six (6) residents and two (2) staff members. LPA’s interview with R1 regarding the allegations pertaining to S2 resulted in contradicting statements such as them stating S2, “Barks” at them but then would immediately follow-up by saying S2 was “Nice” to them. LPA’s interview with R2 and R3 revealed that staff do not yell at them or treat them in a disrespectful manner. R3 stated S2, “Speaks loud but is not yelling” at them. LPA attempted to interview R4-R6 but due to their inability to validate the questions being asked, LPA terminated the interviews. LPA’s interview with S1 revealed that S2 has never yelled at residents. LPA attempted to interview S2, but they were not present during LPA’s visit.

During LPA’s physical plant tour, LPA observed staff assisting residents. LPA did not observe any staff yelling at residents. LPA did not observe residents to display any characteristics of being fearful of staff. LPA observed residents interacting with one another including staff.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Staff leave residents soiled for extended periods of time. It was alleged that R6 is left in their soiled diaper for an extended period of time. To investigate the allegation, LPA conducted interviews with two (2) residents and one (1) staff member. LPA’s interview with both residents revealed that staff do not leave residents soiled in their diapers for extended periods of time but that residents such as R6 will decline to be changed. LPA’s interview with S1 confirmed, R6 can be difficult at times to change due to their cognitive diagnosis but staff are trained to redirect and attempt again. During LPA’s physical plant tour, LPA observed R6 to be interacting with both staff and residents. LPA did not observe R6 or other residents to omit foul odors such as urine. LPA did not observe R6 to be wet. LPA observed R6 to be well dressed and groomed appropriately.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.