Complaint Investigation Report

Regard the allegation of resident sustained pressure sore(s) while in care of staff, it was alleged that resident sustained pressure ulcers. Per resident interviews, five (5) out of five (5) residents could not corroborate the allegation. Residents stated staff had provided proper care to them and none of them have pressure injuries. Per staff interviews, all three (3) staff denied the allegation. It revealed staff would proper care to residents according to residents’ care needs to prevent pressure injuries or bedsores. Per record review, resident who claimed to have pressure injuries was under home health care. The facility staff had a log to document the care provided to resident, such as reminded or assisted resident to reposition and provided cares to clean resident’s bottom per home health nurse notes. LPA recalled the observation from the other visits prior to resident’s discharge, staff had assisted resident to get up from the bed to the recliner and reminded resident to turn in bed from left to right/right to left. Thus, there were not preponderance of evidence showing resident sustained pressure sore(s) while in care.

Regard the allegation of staff not properly cleaning resident resulting in multiple UTI’s, it was alleged staff did not take a resident to the bathroom causing resident to have UTIs. Per resident interviews, five (5) out of five (5) residents could not corroborate the allegation. Residents stated staff would assist them to use the bathroom as needed and clean them afterward. None of the residents had UTI while in care. Per staff interviews, all three (3) staff denied the allegation. It revealed staff would assist residents who needed toileting assistance to go to the bathroom and provided proper cleaning to residents. Per record review, staff had kept track of providing toileting assistance to the resident who claimed to have UTIs, such as changing urine pads in bed when wet and assisting resident to get up going to the bathroom. Therefore, there were not preponderance of evidence showing staff failed to clean resident resulting in multiple UTI’s.

Regard the allegation of staff does not keep facility free from pests, it was alleged that staff members were leaving the kitchen / garage door open causing flies and mosquitoes to fly in resident’s room. Per resident interviews, five (5) out of five (5) residents could not corroborate the allegation. Residents’ interviews revealed they did not observe flies and mosquitos in their rooms. Their rooms did not have pest issues. Per staff interviews, all three (3) staff denied the allegation.