Complaint Investigation Report

During interviews with the residents, three (3) out of four (4) did not corroborate the allegation. One of the residents stated that the staff have been helping them with all of their care needs including showering. Another resident stated that staff have been assisting them with bathing and that they have never had any issues with having their hygiene needs met. During interviews with staff, none of them corroborated the allegation. One staff stated that all residents are showered three (3) to four (4) times per week, or as needed and that they have a schedule for showering all residents to meet their hygiene needs. Another staff member also confirmed that they assist residents with showering at least three (3) times per week or per request of the resident. Review of the weekly bathing schedule for residents revealed that all have been showered at least three (3) times for the week of 12/15/2025 - 12/22/2025.

In regards to the allegation that " Staff do not ensure that residents are provided clean linens while in care," it is alleged that staff are providing dirty linens to residents in care. During interviews with the residents, none of them corroborated the allegation. One of the residents stated their linens are always kept clean by staff. Another resident also corroborated that their linens are cleaned by staff. During interviews with the staff, none of them corroborated the allegation. One of the staff stated that linens are cleaned at least once per week for all residents as indicated on the admissions agreement, or as needed. Another staff member also stated that linens are cleaned at least once per week or more if they become dirty. During the tour of the resident bedrooms, all linens appeared to be clean upon inspection. The admissions agreement also specifies that linens are to be cleaned at least once per week by staff.

In regards to the allegation that " Staff do not ensure that resident is being provided comfortable accommodations while in care," it is alleged R1 was provided a mattress in which they are able to feel their own bedsprings and therefore is not comfortable. During interviews with the residents, three (3) out of four (4) of them did not corroborate the allegation. One of the residents stated that their mattress is comfortable and they have no problems with it. Another resident stated that they believe their mattress is adequate. During interviews with the staff, none of them corroborated the allegation. One staff stated that R1's home health agency is working towards submitting a request for a hospital bed with a new mattress to R1's Primary Care Provider (PCP) for approval, and in the meantime the facility is providing R1 a temporary mattress. Another staff member also stated that the resident mattresses are comfortable and are working towards obtaining a new mattress for R1. During interview with W1 who works at R1's home health agency, they confirmed that they are working on submitting the request to R1's PCP in order to obtain a hospital bed with new mattress for R1.