Complaint Investigation Report

Reg arding allegation - Resident developed a bedsore while care . LPA interviewed the Administrator and 2 Staff who assisted Resident #1 (R1) during the stay at this home. Resident #1 had moved out of the facility on January 2, 2022. According to the interviews, resident had slight redness to the middle buttock area back in December and did not believe it was a bedsore. They stated they repositioned R1 every 2 hours and changed the diaper often. When they discovered the redness, they immediately applied cream to prevent it from getting worse. Per their observation, there was no broken skin in the buttock area, only slight redness. LPA also interviewed the Administrator at the home where R1 is now residing and Administrator stated there was no bedsore when R1 moved into her home. Based on information gathered, there was no evidence to prove R1 developed a bedsore.

Regarding allegations - Resident is left in soiled diaper(s) for an extended period of time and Resident's diapering needs are not being met. The Administrator and Staff interviewed denied these allegations. Staff indicated that they check on residents diapers every 2 hours and would change them as needed. They do not leave residents sitting in soiled diapers due to possible tearing of the skin. They also stated that residents have call bells in the rooms for residents to signal for staff if they need assistance and to have their diaper changed as well. The residents interviewed stated the staff check their diapers often and change them as needed. They do not leave them sitting in soiled diapers.

Regarding allegation - Resident is being harassed by other resident in care. Per the Administrator and Staff, they have not seen any residents harassing one another. They have not seen any residents poke fun or ridicule another resident based on their behavior. Per Staff, they will intervene right away if a situation arises amongst the residents. They receive training on how to handle residents' behaviors the best way possible.

The residents enjoy living here and none of the them are being harassed by others.

Regarding allegation - Resident was pinched by other resident in care. It was alleged that Resident #1 was pinched by the roommate. The Administrator and Staff have not heard of any residents being pinched by another resident. They check on residents often and ask how they are doing. There were no reports from the residents about being pinched. The residents interview denied pinching their roommate or another resident.