Complaint Investigation Report

The investigation consisted of the following: Regarding allegation: Staff is not ensuring that facility bathroom is kept clean . It is alleged that the bathrooms are dirty with urine left on the toilets for a month. Interviews conducted with clients revealed 1 out of 2 clients stated bathrooms are clean and 1 out of 2 clients was not able to answer the question due to cognitive skills. Interviews with staff revealed bathrooms are clean daily in each shift and after each client’s use if require. As they are aware some clients may not aim directly at the toilet. During the tour of the facility LPAs observed two bathrooms which were clean. Bathrooms’ floor, toilet, bottom of toilet were free of stains or urine and no odors were noticed.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff are requiring residents to bathe with dirty towels. It is alleged clients are required to use the dirty towels that the staff clean with when they take showers. Interviews with clients revealed, 1 out of 2 clients stated to have clean towels for showers and 1 out of 2 clients was not able to answer due to cognitive skills. Interviews with staff revealed that towels are provided to the clients at the time of the shower as they are stored in the linen closet. Per staff towels are wash daily after the clients take showers and are available. Staff stated that before the shower the client is provided a clean towel to wash and a clean towel to dry themselves. During the tour of the facility LPAs observed a linen closet with sufficient towels of different sizes available for the clients in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff are not meeting resident’s dietary needs. It is alleged client is fed meat and the client cannot have meat due to not being able to chew and often refuses to eat. Interviews with clients revealed 2 out of 2 clients stated to be provided food and not have issues with the food. Interviews with staff revealed that only one client usually has a different food preference from the menu. C1 is provided choices that may be more of C1’s taste any time C1 does not want to eat what has been prepared. Staff stated clients do not have special diets, difficulties eating due to dental problems, or have shown/complaint of pain while eating their meals. Document review revealed no special diets for any of the clients and C1 was last seen by a dentist on 11/16/23 for an annual checkup.