Complaint Investigation Report

Allegation #1: Staff did not assist resident with personal hygiene care.

Allegation #2: Staff did not ensure resident had clean clothing.

It is alleged that the staff failed to assist Client #1 with personal hygiene, resulting in a decline in the quality of care at this facility and raise concerns about potential neglect. Reports indicate that Client #1 has been observed wearing soiled diapers, unclean clothing, and improperly fitted shoes. Additionally, extra clothing belonging to Client #1 has been found saturated with sweat, feces, and mildew. Further claims suggest that the administrator was informed of these concerns but took no action to address them. No additional details about this allegation have been provided.

On December 11, 2025, and January 16, 2026, between 11:10 AM and 2:15 PM, the Department interviewed two clients, identified as Client #1 (C1) and Client #2 (C2). Neither of these two clients was able to confirm the claim. Client #2 (C2) stated (C2) received assistance with personal hygiene and had no concerns or issues with the services provided by the staff. Additionally, (C2) claimed not wearing soiled or dirty clothing out in the community.

Client #1 (C1) was interviewed but could not engage in a conversation due to (C1’s) health condition.

On December 11, 2025, and January 16, 2026, between 10:00 AM and 4:09 PM, the Department interviewed two staff members identified as Staff #1 and Staff #2 (S1-S2). Both staff members stated that the claim against them is false. They confirmed that Client #1 (C1) experiences incontinence and wears diapers. However, they asserted that (C1) has always received prompt assistance with incontinence care and has never left the facility in soiled or dirty clothing. (S1-S2) asserted that they did not pack any alternative clothing or pull-up diapers that were unclean or had an unpleasant odor. Demonstrative evidence was presented to (S1- S2), who both denied its validity.

On January 5, 2026, January 7, 2026, and January 16, 2026, between 10:00 AM and 03:39 PM, the Department interviewed witness members identified as Witness#1 through Witness #5 (W1-W5). Three (3) out of five (5) could not support this claim. (W3-W5) stated that during their visits, they had not observed any clients at the facility wearing unkempt, soiled diapers or dirty clothing.